Case Presentation: A 59-year-old male with a history of Factor V Leiden and BPH presented with three weeks of worsening left flank pain accompanied by intermittent fevers and fatigue. He also endorsed a history of persistent fevers a few months ago which resolved without treatment. The patient immigrated 30 years ago from rural Italy, and [...]

Case Presentation: The patient is a 36 year-old man with no significant past medical history who presented with 1.5 months of worsening left sided low back pain and sciatica that rapidly progressed to bilateral leg weakness. Three days prior to presentation, he lost his ability to ambulate and had an episode of fecal incontinence associated [...]

Case Presentation: A previously healthy 48 year-old Guatemalan male presented with malaise, anorexia, 20-pound weight loss. Three weeks prior, he had fever, chills, emesis and diarrhea. A thorough history revealed that the patient was having intermittent confusion with labile, tearful mood swings. Lab-work confirmed pancytopenia, hyponatremia and mild transaminitis. Abdominal ultrasound showed hepatosplenomegaly. MRI brain [...]

Case Presentation: A 24-year-old male with no significant past medical history presented with five days of abdominal pain and lower extremity aching. He also reported subjective fevers, headache, emesis, and decreased appetite with a five-pound weight loss. On initial presentation, he was febrile to 100.9°F and physical exam was notable for diffuse abdominal pain, tender [...]

Case Presentation: A 62-year-old man presented with six months of progressive lower back pain. He noticed weight loss, sweats, and subjective fevers, but denied neurological symptoms or a other complaints. Patient lives in Texas, but travels to Mexico during winter. He denied tobacco abuse, intravenous drug use, incarceration or animal exposure. He reported eating unpasteurized [...]

Case Presentation: A 62-year-old man presented with progressive lower back pain for six months’ duration. He noticed significant weight loss, occasional sweats, and subjective fevers. No significant neurological symptoms or any other significant complaints. Patient lives mainly in Texas, but goes to Mexico during winter time for a couple of months. He denied tobacco abuse, [...]

Case Presentation: A 33-year-old male with a past medical history of gout presented with a 5-day history of intermittent fevers, arthralgias, testicular pain and swelling. He denied dysuria, penile discharge, lymphadenopathy, and rashes. He reported having 3 female sexual partners over the past 6 months with consistent condom use and no history of sexually transmitted [...]

Case Presentation: We describe a 49-year-old Latino male treated for Brucellosis infection due to Brucella melitensis (B. melitensis). The patient presented to the emergency department (ED) with 2-weeks of fevers, night sweats, 27lb weight loss, nausea, and diarrhea. In the ED, the patient had a fever of 102.2F, tachycardia (97bpm), moderate hyponatremia (128), hypokalemia (2.8), [...]