Case Presentation: This is a previously healthy 41-year-old man who presented with fevers, headache, and neck stiffness for 5 days. He also reported photophobia, anorexia, insomnia, nausea but no vomiting. He denied any recent travel and was not aware of any insect bites. The patient had a faint macular rash on his upper chest and [...]

Case Presentation: A 55 year-old previously incarcerated male with a history of treated tuberculosis presented to the emergency department (ED) with right hand infection. On admission, he was hypoxic with notable skin lesions on bilateral hands and face. He denied any recent travel. He had a remote employment history of yardwork, but not within the [...]

Case Presentation: A 25 year-old white man with no significant past medical history presented with gradually progressive dyspnea on exertion and dry cough for approximately two months. He was treated for community-acquired pneumonia with various oral antibiotics and corticosteroids without resolution of symptoms. Importantly, during a particularly severe coughing spell, he noted sharp right-sided chest [...]

Case Presentation: A 54-year-old male with known human immunodeficiency virus (HIV) presented to the emergency room with three weeks of progressive lower abdominal pain, nausea, chills, and a 15-lb weight loss. The patient had no diarrhea, dysuria, urinary frequency, or penile discharge. He had no recent sexual activity. He was diagnosed with HIV four years [...]

Case Presentation: A 41-year-old male with a history of amphetamine use and an inguinal hernia presented with epigastric abdominal pain with associated subjective fevers, and non-bloody, non-bilious emesis. On presentation, he was tachycardic, febrile to 39.8 degrees Fahrenheit, and hypotensive with a mean arterial pressure (MAP) of 57. An infectious work-up was performed with his [...]

Case Presentation: A 65-year-old male with hypertension, hyperlipidemia, type 2 diabetes, and hypothyroidism was admitted to the hospital with fevers and chills in the setting of leukopenia and thrombocytopenia. Symptoms began on his way home from India four days prior and progressed to a Tmax of 102F with chest congestion. His physician ordered labwork that [...]