Case Presentation: An 80-year-old man presented with progressive worsening of altered mental status after a fall and right knee trauma. Four days prior he developed subjective fevers, chills and inability to walk after the fall. Past medical history was significant for diverticulitis complicated by diverticular abscess six months prior to admission. He was homebound, no [...]

Case Presentation: 18-year-old female presented with one week of fever, left flank pain, and sore throat. On arrival she was febrile, tachycardic, hypotensive, and tachypneic. Physical exam was notable for left flank tenderness, labial and buccal ulcerations. Labs were significant for positive urinalysis, leukocytosis, blood cultures with gram negative bacteria, and recent negative streptococcus rapid [...]

Case Presentation: A 60-year-old male with a history of right hepatic resection for donation in 2011 presented to theEmergency Department for acute onset of chills, malaise, and fever up to 101.3 at home withassociated vomiting, abdominal pain, and abdominal distention. He was found to have fluidrefractory hypotension, elevated lactate, and a stage II AKI with [...]

Case Presentation: An 18 year old male presented with ten days of fever, sinus congestion, cough, right sided headache, myalgia and diarrhea. He had no significant past medical history but recently travelled to Bahia, Brazil and engaged in ocean swimming and sushi consumption. He had tested positive for Influenza A at his primary care office [...]

Case Presentation: We report a 32 year old previously healthy Caucasian male who presented with fever and a sore throat. At presentation he was noted to be febrile, but examination of his throat and neck were unremarkable. Blood cultures were positive for Fusobacterium necrophorum in two sets. CT of his neck was negative for parapharyngeal [...]

Case Presentation: The patient is a 23 years old Hispanic male with no significant past medical history presented to the ED with the chief complaints of sore throat, headache, nausea, vomiting for 5 days. He was at his baseline health status 5 days ago, when he started noticing malaise, followed by sore throat and fever. [...]

Case Presentation: A 20-year-old otherwise healthy male presented with a three day history of fever, sore throat, and myalgias. He was given supportive care and discharged home after testing negative for strep. He returned three days later with pleuritic chest pain, neck and ear pain, and had developed trismus. On arrival, his heart rate was [...]

Case Presentation: We present a case of a 44-year-old male with a history of FN liver abscess, diagnosed two years ago (treated with four weeks of ertapenem to complete resolution), who was brought to the emergency department with confusion, expressive aphasia, fever, and ataxia for three weeks. The patient was vitally stable. Lab workup showed [...]

Case Presentation: A 79-year-old man with a past medical history of hypertension and hyperlipemia presented with abdominal pain and fever for two weeks. On physical examination, the temperature was 37.4 C (99.3F), heart rate was 78 beats per minute, respiratory rate was 16 per minute, and blood pressure was 176/81. There was tenderness in the [...]

Case Presentation: A 53-year-old male with no prior medical history presented to our institution with a 6-day history of fever and lumbar pain. He denied experiencing a sore throat. Upon examination, conjunctival icterus was observed. No dental caries were detected in the oral cavity. Laboratory analysis revealed an elevated inflammatory response, characterized by a white [...]