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: 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 [...]

Case Presentation: We present the case of a 62-year-old female with a past medical history of breast cancer diagnosed one-year prior status post lumpectomy, adjuvant radiation, and letrozole, who presented to the hospital with a 1.5 month history of cough, night sweats, fevers, and weight loss. She reported the cough was initially productive of yellow [...]

Case Presentation: A 59 year old man presented to the ER with shortness of breath, non-productive cough and fever of 103○F. He was also being followed for an enlarging left tricep mass that has grown significantly in size for the past 2 months, currently at 11cm in diameter. CBC now revealed a WBC count of [...]

Case Presentation: A 55-year-old man presented with bilateral upper back pain with radiation to the upper chest for the past 1 month. On examination, he had left upper back tenderness. A CT of the chest revealed septic pulmonary emboli. Blood cultures drawn on admission speciated to methicillin-resistant staphylococcus aureus (MRSA). Urine cultures speciated to MRSA [...]

Case Presentation: Acute eosinophilic pneumonia (AEP) is a rare condition and is often idiopathic, but among drug-induced causes, daptomycin-associated AEP is the most common.[1] The patient is a 75-year-old female with a past medical history of Sheehan syndrome, adrenal insufficiency, hypothyroidism, and type two diabetes mellitus admitted to the hospital with a non-productive cough ongoing [...]

Case Presentation: A 64-year-old female with eosinophilic pneumonia, eosinophilic myocarditis, and hypothyroidism presented to the ED with four days of left upper extremity weakness. Symptoms began with a “sensation of heat,” progressing to left-sided weakness, impaired motor coordination, and fecal incontinence. She denied dizziness, visual changes, chest symptoms, falls, or head trauma.She previously used corticosteroids [...]

Case Presentation: A 56-year-old male with history of spinal epidural abscess being treated with IV daptomycin, presented to the emergency department with a fever of 104° F. The patient had a history of recurrent epidural abscesses, requiring multiple surgical washouts, following past lumbar diskectomy subsequent to lumbar radiculopathy. Previous cultures were positive for two strains [...]

Case Presentation: 17 year old female with history of severe persistent asthma, allergies, and chronic marijuana use presents with one month of worsening dyspnea, cough, and chest pain, after treatment for left lower lobe pneumonia and asthma exacerbation.She was afebrile, tachycardic, tachypneic, but saturating well on room air. Lung exam had diminished breath sounds at [...]