Case Presentation: A 14-year-old boy with autism presented with a five-day history of high fever (40.5 degrees C), vomiting, shortness of breath, and a rash involving the palms-and-soles. He was evaluated at urgent care and was believed to have hand-foot-mouth disease. He was brought to the emergency department for ongoing symptoms, where he was noted [...]

Case Presentation: Ms. M is an 80 yo female with DM 2, COPD and gout, initially admitted to a tertiary care medical center in 2019 for sepsis of presumed urinary origin. She was treated with ceftriaxone and rapidly improved. Her urine culture and blood cultures from admission remained negative on hospital day 3, so she [...]

Case Presentation: A 40 year-old male went camping in southeast Missouri in May and suffered tick bites. He developed a fever, rash and myalgias. He was treated with doxycycline, which was discontinued due to anaphylaxis. Due to worsening abdominal pain and fatigue he went to the hospital. He was febrile, ill-appearing, and jaundiced. He had [...]

Case Presentation: 27 year old Caucasian female admitted with fever, abdominal pain radiating to back. She was not an IV drug user. Has a recent history of facial abscess following spider bite but no signs of cellulitis over extremities. There was a small red spot on lower right eyelid, no Osler nodes, janeway lesions, no [...]

Case Presentation: The patient is a 67 years old female with Hepatitis C and alcoholic liver cirrhosis, HCC, atrial fibrillation who presented to the ED with fever, chills and altered mental status. Per husband, the patient did not have any focal symptoms including cough, abdominal pain, burning urination, headache or photophobia. On initial evaluation patient’s [...]

Case Presentation: 52 year old woman presented with finger and hand pain in the setting of bites suffered from a Capuchin monkey. Five days prior to admission, the patient was bitten by her pet on her left first digit. She noted near immediate edema and erythema. After consultation with her primary care provider, she obtained [...]

Case Presentation: A 40-year-old Caucasian woman with history of surgically-repaired lumbar spinal stenosis presented with a progressive swollen and painful right foot over past few hours. The patient was concerned of a spider bite though did not see a spider. The dorsal aspect of the foot was erythematous, edematous, with a pinpoint area of necrosis [...]

Case Presentation: A 40-year-old male with a history of Psoriatic Arthritis (PsA), managed on weekly Etanercept, presented to our academic medical center with fevers and polyarthralgia. Two weeks prior, he presented to urgent care for fever, chills, arthralgias, and myalgias, where he was diagnosed with an acute viral syndrome. Two days later, he re-presented for [...]

Case Presentation: A 50-year-old man with a past medical history notable for non-alcoholic fatty liver disease, peptic ulcer disease, gout, and depression presented to the emergency department with a 5-day history of constant, sharp, epigastric abdominal pain. Preceding these symptoms, he experienced an episode of severe nausea, non-bilious non-bloody vomiting, diarrhea, and chills after eating [...]

Case Presentation: A 48-year-old man with a past medical history of congenital solitary right kidney, chronic idiopathic pancreatitis, pancreatectomy and islet cell transplant, splenectomy, and alcohol use disorder presented with fever, chills, and night sweats. He was bitten by a dog three days prior to presentation. Shortly after arrival, he developed septic shock with lactic [...]