Case Presentation: A 66-year-old Hispanic male with a history of primary hypertension and type 2 diabetes mellitus presents to hospital with 3 months of progressive fatigue, poor appetite, watery diarrhea, dizziness, and vomiting. Vital signs were notable for postural hypotension (BP 146/84 sitting, BP 118/72 standing). Physical examination was normal with no skin or mucous [...]

Case Presentation: A 73-year-old male with history of type 2 diabetes and one-month prior admission for acute renal failure in the setting of stage IV chronic kidney disease presented with symptomatic anemia found to have splenomegaly. A renal biopsy revealed features of membranoproliferative glomerulonephritis and necrotizing crescentic lesions with IgM kappa deposition, suspicious for cryoglobulinemic glomerulonephritis. Immunofixation [...]

Case Presentation: Mr. M is a 66 year old man with a history of a kidney transplant and extensive coronary disease with a recent myocardial infarction and code blue arrest 2 months prior to admission. He presented to an outside facility with altered mental status and seizures attributed to severe hyponatremia (Na 115). The patient [...]

Case Presentation: A 51-year-old man was brought in by family for confusion and unsteady gait for a few days. Medical history was significant for alcoholic cirrhosis and prior (2018) cardioembolic strokes with no deficits. Social history was pertinent for drinking multiple beers daily for years. In ED, patient was oriented to name only, tachycardic otherwise [...]

Case Presentation: A 53-year-old immunocompetent female with a history of well-controlled type 2 diabetes mellitus had incidentally found asymptomatic right lower lobe lung masses, the largest of which measured 6.5 cm x 2.4 cm. She underwent a CT-guided lung biopsy of these for further evaluation. The pathology report did not reveal a malignancy, but instead [...]

Case Presentation: We present a case-series of 3 immunocompetent patients who presented with cryptococcal meningitis.Case 1: A 49-year-old HIV-negative male, with a history of treated tuberculosis and Hepatitis B, presented with dizziness. CT chest revealed a cavitary lung lesion, and subsequent bronchoscopy and endobronchial ultrasound (EBUS) with lavage and biopsy demonstrated cultures positive for C. [...]

Case Presentation: A 56 year-old man with a history of immunosuppressive therapy with prednisone and tacrolimus for a cadaveric kidney transplant presented with 1 month of personality change and lethargy. He was also noted to have generalized weakness and fatigue. He was initially seen 3 weeks prior to admission for these symptoms, which were attributed [...]

Case Presentation: AH is a 74-year-old male with end stage renal disease, who received a living donor renal transplant in 6/2013. Following transplant AH had immediate graft function. His maintenance immunosuppression was tacrolimus and prednisone. Post transplant course was notable for the development of glomerulopathy, resulting in CKD III, complicated by chronic hyperkalemia, in part [...]

Case Presentation: A 57 years old man with a history of prediabetes and Lyme disease diagnosed two months prior to admission and treated with doxycycline for three weeks, was transferred from another hospital to our institution for recurrent high grade fevers and shaking chills for two months. Originally from Guatemala, he had lived in America [...]

Case Presentation: A 30 year-old female with AIDS presented with three weeks of headache, dry cough, odynophagia, vomiting, fatigue and weight loss. She had a history of cryptococcal meningitis requiring lumbo-peritoneal drain four years prior but was lost to follow up, with non-adherence to maintenance and antiretroviral therapy. She had normal vital signs and appeared [...]