Case Presentation: The patient is a 57 year old Hispanic male with history of AIDS who presented with two weeks of left flank pain, fatigue and fevers. Physical exam showed mild tenderness of the left flank. Labs showed a chronic anemia and an absolute CD4 count of 111. Kidney function was normal, and urinalysis was [...]

Case Presentation: A 65 year-old woman with a history of renal cell cancer status post nephrectomy and breast cancer treated with lumpectomy and radiation presented with three weeks of progressive lower extremity weakness and confusion. She had poor short-term memory, word-finding difficulties, and difficulty walking. She had no fever, night sweats, or weight loss. Exam [...]

Case Presentation:  A 41 year-old male with HIV/AIDS (diagnosed three years ago), cutaneous Kaposi Sarcoma (KS), started on combination antiretroviral treatment (cART) three months ago (CD4 270, Viral load (VL) >2000 at the time of initiation of cART), recent VL of 39, who presented with worsening shortness of breath, cough, abdominal pain, abdominal distention and [...]

Case Presentation: A 20-year-old female presented to the emergency department with weakness and fatigue. She reported new onset midsternal chest pain that began approximately twelve hours prior to admission. She had noticed episodes of palpitations and tachycardia over the course of the past two months for which she was prescribed metoprolol tartrate, with no relief. [...]

Case Presentation: An 83-year-old man presented to the hospital with eight days of shortness of breath and non-productive cough. His medical history was notable for chronic systolic heart failure, coronary artery bypass graft surgery, and hypertension. A review of systems was positive for myalgia, subjective fevers, fatigue, anorexia, and unintentional weight loss of 5 pounds [...]

Case Presentation: A 60-year-old, Guatemalan female without prior medical history presented with a transient, erythematous, burning, rash involving her extremities and torso (Figure 1). Additional symptoms included fatigue, chills, joint pain, early satiety and weight loss. Blood counts, metabolic panel and serum protein electrophoresis were normal. C-reactive protein (13 mg/L, normal (N)

Case Presentation: A healthy 50 year-old high school teacher with a past surgical history significant for elective bilateral breast augmentation presented to clinic for a 2-month history of dry cough unresponsive to steroids. She reported a constellation of symptoms including worsening non-exertional dyspnea, low grade fevers, night sweats, unintentional 30lb weight loss, fatigue, dry skin, and [...]

Case Presentation: A 67 year old woman presented with right upper quadrant abdominal pain and was diagnosed with acute cholecystitis. She underwent elective cholecystectomy, complicated by Clostridium difficile colitis. Despite treatment with oral Vancomycin, she had persistent diarrhea and failure to thrive for a month. Repeat Clostridium difficile toxin was negative. Esophagogastroduodenoscopy showed erosive gastritis [...]

Case Presentation: A 45yo soldier with a h/o visceral leishmaniasis (VL) and sarcoma of the thigh s/p excision presented with 2 weeks of lymphadenopathy (LAD), fevers, joint swelling, arthralgias, abdominal pain, and weight loss. Since his surgery for sarcoma 6 years prior, he had imaging to monitor for worsening LAD. Multiple lymph node biopsies were [...]

Case Presentation: 54 years old man with a history of hypertension was hospitalized due to elevated BUN/creatinine of 33/4.6 mg/dL and Hb of 9.9 mg/dL (baseline 15). He endorsed dyspnea on exertion, anorexia and weight loss of 15 pounds in 6 months. One month ago, he was treated for acute bronchitis with levofloxacin and was [...]