Case Presentation: A 49-year-old male with a history of type 1 diabetes mellitus, end stage renal disease, status post pancreas-kidney transplant maintained on tacrolimus and mycophenolate mofetil, who presented with a three-day history of fever, tension like headache, nausea, and non-bloody emesis. He denied exposures to pets, including cats. Laboratory values were significant for elevated [...]

Case Presentation: In infectious disease diagnostics, Next-Generation Sequencing (NGS) is a game-changer. The test is particularly useful when regular tests are unable to pinpoint the problem, especially in healthy people with no risk factors for unusual infections. It enhances pathogen identification through genetic analysis A 55-year-old woman with sigmoid diverticulosis and recurrent urinary tract infection [...]

Case Presentation: A 51-year-old African American female with a past medical history of hypertension, hyperlipidemia, and alcohol use disorder presented with acute onset confusion and difficulty with communication upon awakening preceded by intermittent mild headache for a few weeks. While in the emergency room, the patient experienced a grand mal seizure. The patient was afebrile [...]

Case Presentation: A 55-year-old female with a past medical history of stage IV intranasal mucosal melanoma (status post resection of the nasopharynx, medial maxilla, floor of the sphenoid sinus, and clivus – two years prior) and current use of nivolumab presented to the hospital with two weeks of a worsening, pressure-like right temporal headache and [...]

Case Presentation: An 83 year-old female with history of hypertension presented to the emergency department with altered mental status for the past 2 days. Family reported patient to have a low impact fall, 2 weeks prior. In route, patient was noted to be febrile at 101.7˚F. Upon arrival, vitals were stable. Patient was found to [...]

Case Presentation: 54 yo White Male with PMH of hereditary hemorrhagic telangiectasia (HHT) presented with right-sided focal neurological deficits, word finding difficulties, confusion and headache.  He was treated for a brain abscess with surgical resection and antibiotics X 1 month at an OSH attributed to recently sustained head trauma.  Follow up MRI 1 month later, [...]

Case Presentation: We present a case of a 44-year-old male with a history of FN liver abscess, diagnosed two years ago (treated with four weeks of ertapenem to complete resolution), who was brought to the emergency department with confusion, expressive aphasia, fever, and ataxia for three weeks. The patient was vitally stable. Lab workup showed [...]

Case Presentation: A 73-year-old male with hypertension, hyperlipidemia, and mild COPD presented with word-finding difficulties. Initial brain imaging at an outside hospital suggested a left intra-axial peri-Rolandic lesion, raising suspicion for a primary brain tumor like glioma. He was transferred for neurosurgical evaluation, where MRI revealed a ring-enhancing lesion with restricted diffusion, consistent with a [...]

Case Presentation: A 68-year-old male with a three-year history of kidney transplantation on chronic immunosuppression presented with persistent hypotension and acute right leg pain secondary to a right lower extremity abscess. Initial comprehensive computed tomography (CT) revealed multiple additional abscesses, including neck, forearm, retroperitoneal, paravertebral and numerous pulmonary nodules. Given concerns for possible disseminated Nocardia, [...]

Case Presentation: 50 y.o African American male with a history of schizophrenia presented for headache, blurred vision and acute onset aphasia. On exam, patient was alert, but unable to follow commands. He was noted to have poor dentition. Lab studies revealed WBC count of 4.1 with 47% neutrophils. BMP and liver function studies were unremarkable. [...]