Case Presentation: A 44-year-old African woman presented to the ED complaining of productive cough, headache, fever, chills and nausea for 5 days. PMH was significant for HIV (CD4 557 cells/ mm3, HIV RNA 20 copies/mL) and non-Hodgkin lymphoma (in remission since 2009). Medications included darunavir, ritonavir, abacavir/lamivudine and valacyclovir. She denied travel, drug and alcohol [...]

Case Presentation: 52-year-old Caucasian male with no past medical history significant for history of hypertension and hyperlipidemia who presented to the hospital secondary to fever of 103 degrees and chills for 3 days. Patient reports that fever was sudden in onset and has been intermittent which breaks with sweating. His review of systems were positive [...]

Case Presentation: Case Presentation: This is a 3 year old male who recently returned from two months traveling in Liberia. In Liberia, he contracted malaria and was treated with two days of IV antimalarial treatment (thought to be artesunate) followed by three days of oral artemether-lumefantrine with improvement in symptoms. Ten days after completing treatment, [...]

Case Presentation: We present a case of a 49-year-old male with a history of hereditary thrombocytosis who presented to the Emergency Department with a 4-day history of intermittent fevers, headache, nausea, abdominal pain and one episode of emesis. The patient recently returned from travel to Yemen. He was not taking anti-malarial prophylaxis. Initial vital signs [...]

Case Presentation: A 39-year-old male with history of end-stage renal disease secondary to focal segmental glomerulosclerosis in addition to severe non-ischemic cardiomyopathy was determined not to be a candidate for kidney transplant in the United States due to his cardiac co-morbidity, and subsequently traveled to Nigeria to receive a kidney transplant from a living relative. [...]

Case Presentation: This is a 32 year old male with no pertinent medical history who presented to the emergency department with complaints of headache, body aches, vomiting, diarrhea, fevers and chills for 4 days. The patient also admits to generalized weakness and poor appetite. The patient denies any chest pain, dyspnea, shortness of breath. The [...]

Case Presentation: A healthy 43-year-old Caucasian male who recently traveled to East Africa was presented to the emergency department with a high-grade fever (105.3F), and myalgia. He denied taking malaria chemoprophylaxis. On presentation, he was febrile, hypotensive, and tachycardic. He appeared to be ill, and toxic with no palpable organomegaly. His initial blood tests revealed [...]

Case Presentation: A 58-year-old Nigerian American man with a history of pancreatic neuroendocrine tumor with metastases to the liver and spleen, developed large volume hematemesis while traveling in Nigeria, requiring stabilization at a local hospital. He received 13 units of blood and an upper endoscopy revealed gastric varices. Two weeks later, he presented to our [...]

Case Presentation: A 66-year-old male presented to the emergency department with complaints of intermittent high-grade fever of 38℃ for five days and non-specific chest pain for the past 6 hours. The pain was gradual in onset and was a dull nagging type of pain radiating to his left shoulder. He was tachycardic and had shortness [...]

Case Presentation: A 44-year-old woman presented with five days of intermittent fevers and headaches. Her medical history included hypothyroidism, uterine fibroids, and migraines. The patient lives in East Africa and had traveled to Europe for work within the past month. Three days after flying to NYC, she began to experience subjective daily fevers in the [...]