Case Presentation: A 55-year-old Hispanic male with PMH of hypertension presented to the emergency department (ED) with a 2-week history of flu-like symptoms including malaise, fever and chills, anorexia, dry cough and night sweats. In the ED he was found to be lethargic, short of breath, and had abdominal distention accompanied by urinary and bowel [...]

Case Presentation: A 56-year-old male with a history of 45 pack-year smoking, peptic ulcer, and cholecystectomy 5 months ago presented with worsening epigastric pain and 70-pound weight loss over the last 3 months, associated with subjective fevers, drenching night sweat, and malaise. The patient was hospitalized a month ago for the same reason, when computed [...]

Case Presentation: A 53 year old Russian man with no significant past medical history initially presented to an ophthalmology clinic with two days of progressively worsening, near-total left visual field loss associated with a one-week duration of fever, chills, and cough. He was diagnosed with bacterial endophthalmitis. His vitreous fluid was sampled, and he was [...]

Case Presentation: A 70 year male presented to the emergency department with complaints of worsening fatigue, abdominal distension, abdominal pain, dyspnea, and increased lower extremity edema. He had been diagnosed with pancreatic cancer 3 months ago and recently started on chemotherapy. An abdominal CT scan revealed massive ascites and multiple liver abscesses essentially replacing the [...]

Case Presentation: A 26 year-old Singaporean man with no past medical history presented with two weeks of fevers and abdominal pain. Five months prior to admission, the patient traveled to Singapore.  Two weeks prior to presentation, he had an episode of sharp, right-sided abdominal pain accompanied by emesis.  He continued to have intermittent fevers, chills, [...]

Case Presentation: A 41-year-old woman with a history of nephrolithiasis managed conservatively presented to the hospital with right flank and right upper quadrant pain. The pain initially started four months prior to her presentation, cramping in nature, rated 10/10 in intensity, intermittent, progressively worsening, initially well managed with ibuprofen, aggravated by movement, and relieved partially [...]

Case Presentation: A 59-year-old incarcerated male presented to the hospital with abdominal pain, fever, and vomiting. Initial diagnostic workup showed a total leukocyte count of 14.2 x 103 /uL. The alkaline phosphate and total bilirubin were normal at 73 IU/L and 1.2 mg/dL, respectively. The Computerized tomography (CT) with contrast of the abdomen and pelvis [...]

Case Presentation: A 45 y/o Asian Male from Vietnam with PMH of treated pulmonary tuberculosis 10 years ago upon immigration to the US, presented to the ED with 3-day history of fever, abdominal pain, nausea and vomiting. He denied recent travel or use of antibiotics. On exam he had fever 102.2, tachycardia, scleral icterus and [...]

Case Presentation: A 58-year-old male with a history of alcohol use disorder, recurrent diverticulitis, and portal vein thrombosis presented to the ED due to jaundice and tremors. He reported malaise, poor oral intake, fevers, and night sweats. Denied weight loss. A telehealth visit prescribed Motrin and Tylenol. The patient consumes 1 liter of vodka weekly, [...]

Case Presentation: We present a case of a 44-year-old male with a history of FN liver abscess, diagnosed two years ago (treated with four weeks of ertapenem to complete resolution), who was brought to the emergency department with confusion, expressive aphasia, fever, and ataxia for three weeks. The patient was vitally stable. Lab workup showed [...]