Case Presentation: A 50-year-old Filipino man with poorly controlled type 2 diabetes mellitus presented with 4 days of fever, abdominal pain and distention. He endorsed unintentional weight loss of 30lbs over the last year as well as a chronic cough. The physical exam was notable for bibasilar lung crackles and abdominal distention with diffuse tenderness [...]

Case Presentation: An 82-year-old, Samoan male with history of poorly controlled diabetes, hypertension, COPD, and pulmonary coccidioidomycosis on fluconazole therapy (400 mg/day) was referred to the hospital by his primary doctor for treatment of a left ankle ulcer and cellulitis that had not responded to ten days of outpatient amoxicillin-clavulanate therapy. He had no constitutional [...]

Case Presentation: A 38-year-old male dentist presented with several days of bilateral lower extremity rash and migratory large joint arthritis in the setting of fevers, myalgias, and a recent viral illness in his 3-year-old daughter. His medical history included remote testicular cancer post-orchiectomy. He was referred by his primary care provider who noted bilateral (right [...]

Case Presentation: 61 year old Hispanic male with a history of end-stage renal disease receiving scheduled hemodialysis, type 2 diabetes presented with 2 months of progressive abdominal pain and distension, anorexia, and intermittent fevers. He had lived in Fresno, Ca for over 20 years. Five months prior, he was diagnosed and treated for COVID-19 pneumonia. [...]

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 61-year-old Indian man with past medical history of type 2 diabetes mellitus and dyslipidemia presented with a 3-month history of intermittent dry cough associated with fevers, chills, night sweats, and generalized weakness. He worked in California as an engineer doing home remodeling, never smoked, and had no sick contact, or animal exposure. [...]

Case Presentation: JT is a 26-year-old incarcerated male with no past medical history that presented to the hospital from a prison unit in Southwest Texas. He endorsed a 1-week history of dry cough, fever of 103F, chills, joint pain, and a painful rash on his legs. He denied any recent sick contacts, IV drug use, [...]

Case Presentation: Coccidioidomycosis is a highly variable disease endemic to the southwest with 60% of infected individuals remaining asymptomatic or suffering mild respiratory illness. Less than 1% of cases result in life-threatening dissemination with immunocompromised hosts being most at risk. We present a rare case of multifocal disseminated coccidioidomycosis (DC) in an immunocompetent young male [...]

Case Presentation: Patient is a 60-year-old male with past medical history of Ledin’s factor V deficiency who presented to the ER with complaints of fever, chills, and weakness. His symptoms started with a headache, cyclical fevers, and violent rigors lasting several minutes. With the onset of rigors, patient progressed to develop ascending weakness. In the [...]