Case Presentation: A 38-year-old Caucasian male with no significant prior medical history presented with an acute CVA based on the presence of fatigue, blurry vision, ataxia, headache, and numbness. His MRI showed “multiple small foci of high DWI/ADC signal” in the bilateral cerebral and cerebellar hemispheres consistent with small acute infarcts. Unremarkable CTA brain/neck, ECHO, [...]

Case Presentation: A 27 yo male with ulcerative colitis (UC) and childhood asthma presented with a dry cough, fever and weight loss for 6 weeks. One and a half years prior to admission, he was diagnosed with UC for which he was started on oral mesalamine 1.2 g/day. Prior to admission, he visited an outpatient [...]

Case Presentation: A 39yo M with no past medical history and taking no medications, presented with 9 months of cough, dyspnea, chills, weight loss, nausea and diarrhea. He had no fever, chest pain, rashes, arthralgias, headaches, abdominal pain, weakness, oral or genital ulcers. He had no recent travel, had no family history of TB or [...]

Case Presentation: A 14-year-old male with history of juvenile ankylosing spondylitis (JAS) and asthma presented to the hospitalist service with four weeks of fever, weight loss, dyspnea, wheezing and cough. He was admitted one week prior for treatment of bilateral pneumonia and was continued on antibiotics after discharge for a ten day course. He had [...]

Case Presentation: Hypereosinophilia (HE) is an abnormality noted on complete blood count that can have a myriad of causes. Identification of associated eosinophilia-related organ damage is important in the workup and treatment of this condition. Recognition requires a high degree of clinical suspicion from providers. We present a case of HE with end-organ damage that [...]

Case Presentation: An 18-year-old female with no medical history was evaluated at an outside hospital for erythematous rash on her forearms, abdominal pain, chest pain, and leukocytosis. Chest Computed Tomography revealed hilar adenopathy. Transthoracic echocardiography showed right atrial and right ventricular (RV) dilation with low ejection fraction (EF). She was then transferred to our institution. [...]

Case Presentation: A 21 year-old man on the rehabilitation service was evaluated for fever and headache. Approximately 1 year previously he was found to have a posterior fossa medulloblastoma that was resected and repaired with a bovine duragraft. Post-operative MRI showed no abnormal contrast enhancement and a lumbar puncture (LP) was unremarkable. Brain and spinal [...]

Case Presentation: 39 YO WM presented to PCP with lower back pain that he initially attributed to pulling muscles after playing golf. Pain persisted and got worse. His PCP ordered lumbar spine CT when he started to have cauda equina compression symptoms which showed intradural sacral mass. Initial labs revealed 45% eosinophilia and mild leukocytosis. [...]

Case Presentation: A 51 y/o male active smoker, presented with sudden onset of dizziness, confusion, right arm weakness, and numbness. He also reported left-sided chest pain and mild headache five days ago. The examination revealed decreased sensation and strength (3/5) in the right upper extremity. Labs notable for leukocytosis=22k/uL (60% eosinophils), high sensitivity troponin 440ng/L, [...]

Case Presentation: A 19-year-old female with mild persistent asthma, borderline personality disorder, and substance abuse presented with three days of a non-productive cough and dyspnea. She endorsed generalized malaise and body aches, without fever or chills. In the emergency department she was tachypneic and hypoxic to 87% on room air. A chest X-ray showed a [...]