Case Presentation: A 31-year-old male with no past medical history presented with fevers and headaches for two days. Patient also complained of malaise, neck stiffness and photophobia. Physical exam notable for positive Kernig’s sign. Labs revealed a leukocytosis with neutrophillic predominance. A lumbar puncture was performed to assess for meningitis. The results were initially consistent [...]

Case Presentation: An 87-year-old female with congestive heart failure (CHF), coronary artery disease, atrial fibrillation, COPD, and chronic kidney disease presented with 3-day-history of diarrhea, worsened dyspnea, leg swelling and weight gain. Vitals signs were temperature 38.3 C, pulse 104, respiration 20-25 and blood pressure 112/46. Examination was significant for bilateral crackles in lungs, irregular [...]

Case Presentation: A 26-year-old male with no significant history presented with two days of fevers, headaches, myalgias, and confusion. On arrival to the hospital, he was febrile to 104.5F, responsive to commands but lethargic. He was warm, diaphoretic, with no nuchal rigidity and negative Kernig and Brudzinski signs. Neurological and ophthalmologic exams were noncontributory. Laboratory testing showed a [...]

Case Presentation: 84-year-old female who came to hospital with complaints of mild watery diarrhea, generalized weakness, subjective fevers and chills for 4 days. Patient has PMH hypothyroidism, chronic dysphagia, inclusion body myositis, interstitial lung disease, and pulmonary hypertension. Patient lives alone and due to increasing weakness was brought in by family for further evaluation. In [...]