Case Presentation: 65 y/o M with a history of Diabetes and Coronary Artery disease, but in his usual state of health presented with a five day history of malaise, productive cough, shortness of breath, fever, chills and rigor. Initial presentation and diagnostic studies were consistent with multi-lobar pneumonia and acute on chronic renal failure but [...]

Case Presentation: A 55-year-old male with no past medical history presented with 10 days of progressively worsening generalized weakness, malaise, and night sweats.The patient, employed as a landscaper, had been mowing grass and spraying rodenticides at a rural farm 3 weeks prior. Shortly after this incident, he awoke with a constellation of symptoms including fatigue, [...]

Case Presentation: An 83-year-old male with a history of renal cell carcinoma s/p nephrectomy, chronic kidney disease, and hypertension presented to the Emergency Department with several weeks of recurring fevers to 103°F, chills, malaise, fatigue, night sweats, anorexia, and an unintentional weight loss of 4.5 kg. He denied arthralgias, myalgias, neurologic symptoms, rashes, diarrhea, or [...]