Case Presentation: A 36-year-old Dominican female, G3P2002, at six weeks gestation and no significant medical history presented with complaints of fever, headache, myalgias, nausea, vomiting, diarrhea, and diffuse abdominal pain for two days. She denied any recent travels, sick contacts, or any bug bites or ticks on her body. Patient is only allergic to penicillin [...]

Case Presentation: A 23 year-old Guatemalan man presented to the hospital with right sided facial swelling, vesicular lesions on the eyelids and ulcers on the tongue. He was admitted with seven similar episodes during the past three months and was treated with steroids, antibiotics, antihistamines and also antiviral therapy for possible cellulitis and Herpes associated [...]

Case Presentation: An 18-year-old male with no significant past medical history presented with four days of worsening fever, sore throat, nausea, vomiting, headache, and difficulty swallowing. One month prior, he presented to an urgent care with an enlarged tender lump below his chin and swollen lymph nodes. He was diagnosed with infectious mononucleosis (IM) and [...]

Case Presentation: A 60-year-old male presented with one week of new onset fevers and fatigue. Past medical history included primary sclerosing cholangitis, orthotopic liver transplant 12 years ago and Epstein-Barr virus (EBV) negative post transplant lymphoproliferative disease (PTLD) with partial response to single-agent Rituximab treatment one-year prior.The patient reported debilitating fatigue, daily low-grade fevers, night [...]

Case Presentation: We present a 61 year old female with a history of hypertension and rheumatoid arthritis well controlled on Humira who presented to the ED with tachycardia and tachypnea, found to have profound lymphocytic leukocytosis and altered mental status. The patient’s family reported a history of fatigue and confusion for 4 days as well [...]

Case Presentation: A previously healthy 20 year old female presented to the emergency department for change in mental status. Five days prior to presentation, the patient was diagnosed at a local urgent care facility with Infectious Mononucleosis and discharged with a course of Prednisone 20 mg. Per family, since starting steroid therapy she began developing [...]

Case Presentation: A 54-year-old Hispanic woman presented with 5 days of subjective fevers, jaundice, nausea, vomiting, and right-sided abdominal pain. On presentation, she was febrile with borderline hypotension and tachycardia, abdominal tenderness, and laboratory values notable for leukopenia and transaminitis with direct hyperbilirubinemia. The patient received vancomycin, cefepime, metronizadole, and intravenous fluids per sepsis protocol. She was intubated [...]

Case Presentation: This is a 13 year-old premenarchal girl with no significant past medical history who began to experience malaise, headaches, and subjective fevers 5-6 days prior to admission. Subsequently she began to experience vulvar pain. This was followed by vulvar erythema which developed into “black dots” that began to ulcerate. Two days prior to [...]

Case Presentation: The patient is a 30 year American Born, Middle Eastern male with PMH Acute Generalized Exanthematous Pustulsosis (AGEP) that comes into hospital with high fevers and diffuse pruritic rash. In January of 2019, the patient, while being treated for pharyngitis, developed a pruritic, pustular rash, after treatment with amoxicillin/clavulanic acid. He was diagnosed [...]

Case Presentation: A 75 year old male with atrial fibrillation, osteomyelitis of the right first digit of the lower extremity on IV Vancomycin presented as a transfer from an outside hospital with 3 weeks of worsening pressured speech, delusions, insomnia, and a seizure like event. The patient was admitted for further work up and management [...]