Case Presentation: A 38-year-old male presented to the hospital with fatigue and progressive exertional dyspnea. He had a childhood history of Kawasaki disease (KD) with no treatment or subsequent follow up. Physical exam revealed marked volume overload, JVD, bibasilar crackles, and an S3 at the left ventricular apex.  EKG was unremarkable. Chest x-ray showed pulmonary [...]

Case Presentation: A previously healthy 7-week-old female presented to the infectious disease service with a 7-day history of fever, papular rash of the face and body, edema of the hands and feet, and cracking of the lips. A diagnosis of incomplete Kawasaki Disease (KD) was confirmed by demonstration of aneurysmal dilation of the right coronary [...]

Case Presentation: A 24-year-old man without significant past medical history presented to the hospital by EMS after a syncopal event at the gym while running on a treadmill. On admission, a routine syncope work-up was negative, including a normal basic metabolic panel, electrocardiogram, and telemetry monitoring. Given the patient’s unclear initial evaluation and concern for [...]

Case Presentation: A 4-month-old, Filipina female presented with 5 days of fever, irritability, and left jaw and neck swelling. Physical exam revealed bilateral conjunctivitis, blanching migratory macular erythema of the forehead and abdomen, and edema with erythema of the left neck that also obscured the angle of the left jaw. Ultrasound showed enlarged left parotid [...]

Case Presentation: Previously healthy 2-month-old female presented with 4 day history of fever, rhinorrhea, cough, emesis, diarrhea, decreased intake and progressing rash on abdomen and extremities. Exam notable for injected conjunctiva and flash capillary refill. Patient was admitted to the Pediatric Intensive Care Unit (PICU) for fluid resuscitation and severity of presentation. Given concern for [...]

Case Presentation: A 32 year old South Asian man with a history of hyperlipidemia presented to the emergency department (ED) for severe, crushing, mid-sternal chest pain associated with nausea and diaphoresis that awoke him from sleep. In the ED, he was found to have a troponin elevation to 1.159 ng/ml (normal < 0.055 ng/ml) and [...]

Case Presentation: A 5-month-old male presented to the hospital for further workup of 15 days of fever. In the preceding 2 weeks, he had intermittent symptoms, including cough, rhinorrhea, and diarrhea. He was treated for an ear infection with antibiotics about 5 days into the course for suspected otitis media without resolution of his fever. [...]

Case Presentation: A previously healthy 8 year old male presented to the emergency department (ED) with a one day history of diffuse abdominal pain, nausea, non-bloody and non-bilious vomiting, and fever up to 39˚C. Appendix ultrasound was normal. Urinalysis was significant for protein, ketones, and bilirubin. Influenza A/B PCR was negative. He improved with intravenous [...]