Case Presentation: Lyme disease a multisystem disease, occurring globally is caused by the spirochete borrelia burgdorferi and transmitted by the Ixodes tick.(6) The incidence of Lyme carditis (LC) is rare with reported incidences of 4%- 10% but recent studies showing 0.3% to 4% with high grade AV block is the most common presentation.(5,2) We present [...]

Case Presentation: A 22-year-old female was admitted with a 5-day history of bilateral lower extremity weakness. She received influenza vaccination five weeks prior to the presentation. The patient progressed rapidly over days to quadriplegia and respiratory failure requiring intubation and mechanical ventilation. The cerebrospinal fluid analysis showed albuminocytological dissociation, and nerve conduction studies revealed an [...]

Case Presentation: A 20 year-old IVDU female presented with 3 days of left eye pain and redness to an urgent ophthalmologist visit. She was found to have left eye retinal whitening superior to the macula to which vitreous tap was performed. Patient started on empiric treatment with injection of vancomycin, ceftriaxone, and voriconazole. Vitreous fluid [...]

Case Presentation: A 54-year-old male with no past medical history presented with chief complaint of generalized weakness, fatigue, headache, loss of appetite and intermittent fever and chills for 5 days. On arrival to the ED, his vitals were notable for temperature was 102.3F.. Labs notable for a hemoglobin 12.5 g/dL, platelets 55×109/L, sodium 128 mmol/L, [...]

Case Presentation: A 46-year-old woman with a past medical history of breast cancer, on tamoxifen, presented to the hospital for two-day history of progressive and generalized rash with a fever. Two weeks prior, she took cephalexin for one week for cellulitis of her right lower leg. The patient did not report a recent travel history. [...]

Case Presentation: A previously healthy 25-year-old woman presented with 3 weeks of headache. Headaches were bilateral, daily, of a severe squeezing quality, and were described as the worst pain of her life. She reported associated fever to 102°F, pressure behind her eyes, photophobia, neck stiffness, nausea, and vomiting. Temperature was 99.7°F, heart rate 99 beats [...]

Case Presentation: A 67-year-old male presented with progressive bilateral upper extremity weakness, diplopia and neck pain of 1 week duration. Patient noted to have bilateral facial droop, weakness and areflexia of both upper extremities on physical exam. He reported having fevers and bloody diarrhea a few months prior to presentation. Magnetic resonance imaging (MRI) of [...]

Case Presentation: A 67-year-old female presented with three days of fever, chills, and generalized weakness. She also had myalgia, epigastric pain, darker urine. She reported no recent travel but reported spending time outside gardening and walking/hiking in the woods with dogs, although she did not recallany tick bites. She had a fever of 104 °F, [...]

Case Presentation: A 20 year-old, asymptomatic Caucasian man presented to the Emergency Department while vacationing in New Orleans. His home physician instructed him to self-present to the nearest hospital after receiving the patient’s Holter monitor data, which noted third-degree AV block and heart rate nadir of 21. The patient was wearing a Holter monitor due [...]

Case Presentation: A 69-year-old female with no significant past medical history presented with three weeks of intermittent fevers followed by 24-hours of persistent fever associated with nausea, fatigue, and malaise. She lived in the metro-Boston area and worked part-time as a dog-walker. She reported a tick bite several weeks ago. Vital signs were notable for [...]