Case Presentation: A 65-year-old male with a past medical history of hypersensitivity pneumonitis/bronchiolitis, coronary artery disease, hypertension and hyperlipidemia was admitted for uncontrolled pain. Myalgias and fatigue were present for a month following a tick bite and shingles. He was treated with doxycycline 100mg twice a day for 14 days and valacyclovir 1g three times [...]

Case Presentation: A 25 year-old woman with severe persistent asthma, chronic self-resolving episodes of hemoptysis, history of miscarriage, and iron deficiency anemia secondary to heavy menses presented with sub-acute worsening shortness of breath and hemoptysis despite adherence to home inhalers. Patient had multiple prior hospitalizations requiring intubation for asthma exacerbations, complicated by hemoptysis. Upon presentation, [...]

Case Presentation: Case PresentationA 49 years old Moroccan female with past medical history of chronic sinusitis and rheumatoid arthritis on Humira presented with the chief complaints of cough and low-grade fever for 1 week. She also had progressive worsening of cough which was productive with dark yellowish/greenish colored phlegm. It was associated with low-grade fever. [...]

Case Presentation: A 56-year-old male presented to the emergency department for longstanding and persistently worsening headaches, subjective fevers, chills, malaise, and significant weight loss. One month prior to this visit, he had a dental abscess that was successfully treated with a course of Augmentin; since that time his headaches, chills, malaise, and significant weight loss [...]

Case Presentation: A 23-year-old male with granulomatosis with polyangiitis with renal involvement (on azathioprine), stage 4 chronic kidney disease (baseline renal function) presented with fever, weight loss, and new pancytopenia. Broad-spectrum antibiotics were started and a comprehensive infectious work-up was done, including bacterial cultures, viral tests, and fungal serologies. Initial imaging was unremarkable for any [...]

Case Presentation: A 34 year old female presented to the emergency department with several days of rapidly progressive skin and tongue lesions. Over the preceding months, she was evaluated by outpatient otolaryngology for recurrent otalgia and sinusitis, receiving antibiotics and prednisone without improvement. She underwent electromyography with neurology and was diagnosed with peripheral neuropathy of [...]

Case Presentation: A 41-year-old male with a history of recurrent sinusitis, asthma, chronic nephrolithiasis, and open angle glaucoma from steroid use presented to the emergency department with new onset pleuritic chest pain and dyspnea. Over the last 10 years, he had experienced chronic sinusitis that was significantly decreasing his quality of life. The patient previously [...]

Case Presentation: A 56-year-old female with a history of recurrent MRSA sinusitis and c-ANCA and PR3 positive granulomatosis with polyangiitis (GPA) presented with right-sided facial droop sparing the eye and upper face, unilateral facial numbness, and right-sided tongue deviation that began four hours before presentation. She also endorsed sinus fullness for the past three days [...]