Case Presentation: Case presentationA 47 yo female with a history of hypertension, obesity, and prediabetes presented to the emergency department of a community hospital with a 2 week history of a nonproductive cough and generalized weakness. Her chest x-ray showed bilateral patchy airspace opacities. Chest CT PE protocol was negative for pulmonary embolus, but showed [...]

Case Presentation: A 43-year-old male with human immunodeficiency virus (HIV), off antiretroviral therapy (ART) for 5 years presented to an outside hospital in July 2022 with diffuse umbilicated skin lesions. Skin scrapings for the monkeypox virus PCR were positive. No medications were prescribed. Days later, the patient was admitted to a different hospital with worsening [...]

Case Presentation: A 42 Y/O AAM with PMH of polysubstance abuse presented to ED with 2 weeks of worsening vertigo, headache, left facial weakness, blurred vision and new onset dysphagia. Physical exam was notable for complete left facial (VII) palsy, left abducence (VI) palsy and umbilicated facial rash. MRI of head revealed a 2.6×2.6×3.9 cm progressive brain lesion at [...]

Case Presentation: The patient is a 31 year old male with a medical history of HIV on antiretroviral therapy who was seen in the emergency department for chest pain and dyspnea, then discharged after a negative cardiac workup. He re-presented two days later with worsening chest tightness, dyspnea, and vomiting. On examination, the patient was [...]

Case Presentation: A 54-year-old male with known human immunodeficiency virus (HIV) presented to the emergency room with three weeks of progressive lower abdominal pain, nausea, chills, and a 15-lb weight loss. The patient had no diarrhea, dysuria, urinary frequency, or penile discharge. He had no recent sexual activity. He was diagnosed with HIV four years [...]

Case Presentation: A 32 years of male with membranoproliferative glomerulonephritis (MPGN) on immunosuppression presented with complaints of fever, abdominal pain and diarrhea. His stool had many WBCs, C. diff was negative and CT of the abdomen revealed enterocolitis. His anaerobic blood culture bottles grew Salmonella group from the nonTyphi subtypes. Further history disclosed that he [...]

Case Presentation: A 53 year old male Missouri resident with a prior history of intravenous drug use, traumatic subdural hematoma, seizure disorder and a diagnosis of human immunodeficiency virus (HIV) / acquired immunodeficiency syndrome (AIDS) in 1990 presented to his local hospital in April with a 1 day history of fever and confusion. He was [...]

Case Presentation: A 35-year-old man with a history HIV/AIDS with a CD4 count 60 and recently treated secondary syphilis presented for acute worsening of chronic rash after restarting Biktarvy. Exam found eruptive, generalized exanthem characterized by oval-shaped, pink, scaly plaques and papules with prominent flexural involvement. The initial differential diagnosis included disseminated bacterial or fungal [...]

Case Presentation: A 31-year-old male with HIV (CD4 75, undetectable viral load four months prior) and visceral and pulmonary Kaposi Sarcoma on Doxorubicin presented with one month of dyspnea, fatigue, abdominal distention, and peripheral edema. His temperature was 102.3 F, blood pressure was 127/66 mmHg, heart rate was 120 beats per minute, respiratory rate was [...]