Case Presentation: A 51-year-old Hispanic male with Type 2 diabetes mellitus and dyslipidemia was admitted from the ED for evaluation of recurrent fevers, multiple joint pains, and tachycardia. Physical exam findings included cachectic appearance and right inguinal lymphadenopathy. Initial laboratory testing was significant for a WBC of 23,300 (80.2% neutrophils, 13.3% lymphocytes), Hb of 11.1, [...]

Case Presentation: An otherwise healthy 23-month-old girl presented to her pediatrician with several days of vomiting, abdominal pain, and decreased oral intake. She was found to have a Sodium of 128 mmol/L with mild transaminitis. She was admitted, treated IV fluid, had improvement in her sodium and oral intake and discharged after two days. She [...]

Case Presentation: A 33 year-old female without significant medical history was admitted as a transfer from an outside hospital for daily fevers and generalized weakness for the preceding two weeks associated with neck pain. Had undergone an extensive infectious disease workup prior to arrival with Computed Tomography (CT) of head, chest, abdomen, and pelvis, blood [...]

Case Presentation: A 65 year old African American male with a past medical history of non-obstructive CAD and chronic hepatitis C with cirrhosis presented to the emergency room with one episode of hematochezia.  Vital signs on presentation were significant for BP 104/61 and HR 103. A digital rectal exam revealed bright red blood. Labs were [...]

Case Presentation: A 48-year-old female with AIDS, HFrEF, asthma, and hypertension presented with weight loss, fatigue, chills, abdominal pain, vomiting, left neck swelling, and purulent mouth drainage over the last 2-3 weeks. She was febrile to 102.9 F, hypotensive (85/64), tachycardic, tachypneic, and had firm, mobile, 2-3 cm cervical lymph nodes and enlarged tonsils. Labs [...]

Case Presentation: A 32-year-old man with AIDS (CD4 count 45) presented to the emergency department for altered mental status. More specifically, he reported 5 days of severe bitemporal headache, fatigue, memory disturbance, blurry vision, dizziness, and subjective fevers. His review of systems was also positive for acute-on-chronic diarrhea and a diffuse rash. Given his diagnosis [...]

Case Presentation: A 59 y/o male who presented to the hospital with a 2 week history of subjective fevers, generalized fatigue, and non-bloody diarrhea. Past medical history was notable for indeterminate ulcerative colitis (UC) and was being managed with azathioprine and mesalamine. He was recently prescribed antibiotics and developed diarrhea shortly after. He denied any [...]

Case Presentation: A 36-year-old male with a renal transplant (CMV serostatus: donor positive/recipient negative) presented to an outside hospital with fever and acute hypoxic respiratory failure requiring high flow oxygen. His maintenance immunosuppressants included cyclosporine and mycophenolate. Upon admission, he was started on treatment for community acquired pneumonia and severe COVID-19 pneumonia. Due to lack [...]

Case Presentation: A 76-year-old female with a history of an incarcerated hernia, Clostridium difficile colitis, hypertension, and dyslipidemia presented to the emergency department (ED) with bloody diarrhea and weakness. On admission, the patient denied fevers, chills, or cough. Additional symptoms included self-limited hyponatremia (133 mmol/L), likely due to excessive diarrhea, bleeding internal hemorrhoids with discomfort, [...]

Case Presentation: A 41-year-old female with Acquired Immunodeficiency Syndrome (AIDS) presented with a complex clinical picture involving seizures, falls, and fever. Limited historical information hindered a comprehensive understanding of the patient’s medical background. Upon examination, the patient exhibited signs of cachexia, lethargy, and distinctive skin lesions. Laboratory results revealed anemia, leukocytosis, and a significantly low [...]