Case Presentation: 37 year-old male with a medical history significant for intravenous drug usage presented with three years of progressive generalized symptoms including weight loss, fevers, and shortness of breath. The patient started to experience worsening fatigue, drenching night sweats and an unintentional weight loss exceeding 20 pounds over several months leading to admission. Upon [...]

Case Presentation: An 18 year old male in Florida with a history of asthma developed frontal headaches three months ago. He was diagnosed with sinusitis, and was prescribed oral amoxicillin/clavulanic acid. However, within two weeks his headaches worsened, fevers developed, and his family observed him walking into walls. At an outside hospital, his lumbar puncture [...]

Case Presentation: Progressive dysphagia associated with weight loss is usually related to upper gastrointestinal cancer. As a differential diagnosis, fungal infections may present with a similar clinical presentation due to upper GI lesions. Paracoccidioidomycosis (PCM) infection is a systemic granulomatous disease caused by the fungi Paracoccidioides brasiliensis, especially important in rural areas of Latin America. [...]

Case Presentation: A healthy 3 year-old male from Arizona was seen in outpatient ENT clinic for 2.5 weeks of intermittent stridor, hoarse voice, barky cough, and 1 day of increased work of breathing. He had previously been evaluated on 4 separate occasions by his pediatrician or the emergency department. Each time, he was treated for [...]

Case Presentation: A 50-year-old Hispanic male with osteoarthritis on chronic steroids of unknown dose from Mexico and type II diabetes mellitus was admitted to the hospital for generalized weakness and fall with questionable loss of consciousness. Physical examination revealed verrucous and nodular lesions on his right arm, posterior neck, and left thumb, but was otherwise [...]

Case Presentation: A 21-year-old male, recently returned from training in the California desert, presented with a non-productive cough and chest pain. Imaging showed a right upper lobe cavitary lesion indicative of pneumonia, and bronchoalveolar lavage was positive for Coccidioides immitis. Treated initially with fluconazole, the cavitary lesion resolved. However, months later, he developed fevers, severe [...]