Background: Legionella pneumophilia is typically transmitted via inhalation aerosols derived from water or soil during outbreaks or be acquired sporadically, commonly causing community-acquired or nosocomial pneumonia1,2. Death occurs through progressive respiratory failure, shock and multiorgan failure3,4. Epidemiological data for in-patient Legionella in the United States (U.S.) is lacking. The objective of the study is to [...]

Case Presentation: A 36-year-old healthy women presented with high fever, headache, and “not feeling well” two weeks after she had termination of pregnancy by dilatation and curettage procedure. She had minimal vaginal bleeding and denied vaginal discharge. She also vomited several times and had two bouts of diarrhea. She denied any significant coughing, sputum, or [...]

Case Presentation: A 43-year-old man with ankylosing spondylitis (on adalimumab), presented with 2-days of fever, cough, diarrhea, and encephalopathy. He had no significant travel history. On exam, he was tachycardic (P = 120 bpm), febrile (temperature 103.0oF), tachypneic (RR = 30 bpm) and had left-sided crackles. Notable labs: WBC = 12.3 109/L, Na+ = 130 [...]

Case Presentation: A 56 year-old man with schizoaffective and antisocial personality disorders was admitted from the county jail witha 4-day history of fever, hemoptysis, severe headaches, hematuria, diffuse myalgias,and bloody diarrhea. Officers reported the patient frequently flooded his cell and ingested toilet water. A CXR revealed L>R bibasilar infiltrates, and a diagnosis of Legionellapneumonia was [...]

Case Presentation: The patient is a 60-year-old male with chronic mixed systolic and diastolic heart failure, Chronic Obstructive Pulmonary Disease (COPD), and Obstructive Sleep Apnea (OSA) who was admitted to general medicine due to a 4-week history of progressive dyspnea and lower extremity edema, concerning for a heart failure exacerbation. Eight days into his hospital [...]

Case Presentation: 71-year-old male with multiple myeloma being treated with dexamethasone, elotuzumab and bortezomib, prior mediastinal plasmacytoma s/p chest radiation therapy and Crohn’s disease was admitted with high-grade fever, chills, productive cough. Labs revealed pancytopenia with neutrophil count of 1.2. Patient was started on broad-spectrum antibiotics for febrile neutropenia. IV Azithromycin was added to the [...]

Case Presentation: A 42-year-old woman was admitted for recurrent multifocal cerebral infarction. She had five episodes of consecutive strokes involving different vascular territories over 8 months resulting in expressive aphasia, visual deficits, and extremity weakness. All laboratory and urine studies, including autoimmune and hypercoaguable workup were unremarkable. Treponema and HIV serologies were negative. Initial cerebral [...]

Case Presentation: 56-year-old female presented to ED with a two-week history of fever, chills, headache, intermittent nausea and vomiting, mild abdominal pain. Her comorbidities included Diabetes mellitus, Morbid obesity, and Hypertension. She had mild leukocytosis on complete blood count and had physical examination significant for bilateral rhonchi in chest auscultation. She was admitted under the [...]