Case Presentation: A 59-year old man presented with high grade fever (102 F), non-productive cough, and malaise for two months duration. His medical history was significant for of relapsing Chronic lymphocytic leukemia; on chemotherapy, Chronic kidney disease, and invasive pulmonary aspergillosis diagnosed a year ago and treated with a 12-week course of voriconazole. Initial laboratory [...]

Case Presentation: 37 year-old male with a medical history significant for intravenous drug usage presented with three years of progressive generalized symptoms including weight loss, fevers, and shortness of breath. The patient started to experience worsening fatigue, drenching night sweats and an unintentional weight loss exceeding 20 pounds over several months leading to admission. Upon [...]

Case Presentation: A 51-year-old man was brought in by family for confusion and unsteady gait for a few days. Medical history was significant for alcoholic cirrhosis and prior (2018) cardioembolic strokes with no deficits. Social history was pertinent for drinking multiple beers daily for years. In ED, patient was oriented to name only, tachycardic otherwise [...]

Case Presentation: A 17 year old male recently diagnosed with high risk B-Precursor ALL and induction failure, was found in clinic to have an acute murmur. Three days prior, he had arm and leg aches, dry cough, a single fever and fatigue that improved with blood transfusion. Now he had a 3/6 holosystolic blowing murmur [...]

Case Presentation: A 56-year-old female with a prior history of acute myeloid leukemia, status-post allogenic stem cell transplant in 2016 (in remission), complicated by chronic graft versus host disease (on mycophenolate), and pulmonary coccidioidomycosis in 2000 presented due to hemoptysis. She experienced 7 days of blood-tinged sputum with upper respiratory symptoms preceding that. Five weeks [...]

Case Presentation: We present a 37-year-old man with refractory hypokalemia hospitalized for resection of his sarcoma sacral lesions. History was also significant for biopsy proven mucormycosis thyroid infection three months prior with the additional finding of a right lower lobe cavitating consolidation. He underwent subsequent thyroidectomy and was initially treated with amphotericin B and posaconazole [...]

Case Presentation: Talaromycosis (formerly known as Penicilliosis) is a rare fungal disease that predominantly affects immunocompromised patients, such as those with HIV and low CD4 cell counts, from endemic regions (e.g., Southeast Asia). There have been a limited number of cases reported worldwide, with a travel-related exposure. We present a case of an immunocompetent patient [...]

Case Presentation: Our patient was a 56 year-old immunocompromised male with a history of active CML (Chronic Myelocytic Leukemia) on active chemotherapy who was undergoing treatment with doxycycline and fluconazole for actinomycosis and coccidioidomycosis diagnosed via BAL (bronchoalveolar lavage) and sputum culture respectively during a recent hospitalization two weeks prior. He presented with persistent non-productive [...]

Case Presentation: A 71-year-old male with a history of chronic lymphocytic leukemia (CLL) presented with shortness of breath and weakness. He had been diagnosed with CLL eight years ago and was placed on acalabrutinib 3 months previously. He was hospitalized twice in the prior 2 months for pneumonia.The patient was found to be tachycardic (102/min), [...]

Case Presentation:  A 32 year old female with history of gestational diabetes presented with fevers, chills and swelling of the left breast. She delivered a healthy boy 2 weeks prior to admission by cesarean section. She had difficulty breastfeeding and developed pain, swelling and purulent drainage from the breast. She was prescribed dicloxacillin for mastitis, [...]