Case Presentation: A 38-year-old Caucasian male with no significant prior medical history presented with an acute CVA based on the presence of fatigue, blurry vision, ataxia, headache, and numbness. His MRI showed “multiple small foci of high DWI/ADC signal” in the bilateral cerebral and cerebellar hemispheres consistent with small acute infarcts. Unremarkable CTA brain/neck, ECHO, [...]

Case Presentation: A 39yo M with no past medical history and taking no medications, presented with 9 months of cough, dyspnea, chills, weight loss, nausea and diarrhea. He had no fever, chest pain, rashes, arthralgias, headaches, abdominal pain, weakness, oral or genital ulcers. He had no recent travel, had no family history of TB or [...]

Case Presentation: Hypereosinophilia (HE) is an abnormality noted on complete blood count that can have a myriad of causes. Identification of associated eosinophilia-related organ damage is important in the workup and treatment of this condition. Recognition requires a high degree of clinical suspicion from providers. We present a case of HE with end-organ damage that [...]

Case Presentation: An 18-year-old female with no medical history was evaluated at an outside hospital for erythematous rash on her forearms, abdominal pain, chest pain, and leukocytosis. Chest Computed Tomography revealed hilar adenopathy. Transthoracic echocardiography showed right atrial and right ventricular (RV) dilation with low ejection fraction (EF). She was then transferred to our institution. [...]

Case Presentation: A 51 y/o male active smoker, presented with sudden onset of dizziness, confusion, right arm weakness, and numbness. He also reported left-sided chest pain and mild headache five days ago. The examination revealed decreased sensation and strength (3/5) in the right upper extremity. Labs notable for leukocytosis=22k/uL (60% eosinophils), high sensitivity troponin 440ng/L, [...]

Case Presentation: A 44-year-old Nigerian woman with no medical history and recent travel to Mexico presents with cough for 4 weeks, fever, and malaise. She initially presented to urgent care with respiratory complaints, was diagnosed with pneumonia and given azithromycin. Her symptoms did not improve and she went to the ED. Vitals were notable for [...]

Case Presentation: A 46-year-old female with history of rheumatoid arthritis and asthma presented with chest and back pain to an outside facility and was evaluated for acute coronary syndrome and cholecystitis. Patient’s absolute eosinophil count (AEC) was 1.76 at that time. Patient was re-admitted with altered mental status and vomiting. Her AEC was 41. Strongyloides [...]

Case Presentation: 65-year-old female with a past medical history of hypertension and colonic diverticulosis presented to emergency department with progressively worsening dyspnea for two months. This was associated with orthopnoea and wet cough. Before presentation, she completed a course of Levofloxacin and steroids in an outpatient clinic. On examination, she was hypoxic with basilar crackles [...]

Case Presentation: A 45-year-old woman presented to Emergency Department (ED) with a 1-weeks history of a sore throat, sinus congestion and dry cough. She was diagnosed with an upper respiratory tract infection and treated with amoxicillin/clavulanic acid. After 3 doses, she developed a high-grade fever and pink confluent pruritic maculopapular rash on arms and legs [...]

Case Presentation: A 76-year-old male was admitted to an outside hospital with several weeks of progressive dyspnea and wheezing. His past medical history was significant for ischemic cardiomyopathy, type 2 diabetes mellitus, and chronic kidney disease. His social history was significant for having lived in Somalia, Yemen, and Indonesia prior to immigrating to the United [...]