Case Presentation: A 30-year-old woman was presented with two days progressive swelling and pain of her right hand after blunt trauma. The pain was associated with paresthesia of the right thumb and fever. There was no associated vaginal discharge, joint pain, sore throat or skin rash. Past medical history was significant for uncontrolled diabetes. The [...]

Case Presentation: We describe a typical presentation of meningococcus meningitis, diagnosed by blood culture. A Congolese man who had recently arrived in New Mexico after living in a Tanzanian refugee camp presented with a 2-day history of worsening diffuse headache, productive cough, non-bloody diarrhea, and persistent fevers. He had not had any sick contacts. He [...]

Case Presentation: Neisseria sicca is a gram-negative diplococcus that colonizes the nasopharynx. Severe infections, including bacteremia, from Neisseria sicca are very rare. We present a case of an immunocompromised 51-year-old female that was admitted with Neisseria sicca bacteremia complicated by an acute renal transplantation rejection.A 51-year-old female with a past medical history notable for type [...]

Case Presentation: A 70-year-old man presented with acute on chronic cough, dyspnea, chills, and pleuritic chest pain. The patient had returned from Jerusalem four months prior, where he participated in multiple large religious gatherings. Since his travels, the patient also reported weight loss and decreased appetite, with months of cough and sneezing. Vitals included a [...]

Case Presentation: The patient is a 31 year old male with a medical history of HIV on antiretroviral therapy who was seen in the emergency department for chest pain and dyspnea, then discharged after a negative cardiac workup. He re-presented two days later with worsening chest tightness, dyspnea, and vomiting. On examination, the patient was [...]

Case Presentation: A previously healthy 18-year-old male presented with a loculated pleural effusion. 10 days prior, the patient had sudden, acute, left sided anterior wall chest pain and shortness of breath. He reported night sweats, but no other symptoms. He was initially treated with doxycycline in the outpatient setting. Despite antibiotics, the symptoms worsened, and [...]

Case Presentation: Our patient is a 27 y/o male with PMHx of HIV (CD4 count 740, HIV viral load 100 copies/mL), Type I Diabetes who presented to the emergency room for tachycardia and fever. ED vitals notable for temperature of 39.1° C and heart rate of 108. White blood cells notable to be 13.8 thousand/mcL. [...]

Case Presentation: A 52 year old man with a PMHx of IVDU and HLD presents with a CC of “Cold Leg”. This was preceded by sudden onset numbness and weakness of his right foot and leg, inability to ambulate and severe pain in his thigh. He reported prodromal fevers, sweats and arthralgias. His last IVDU [...]

Case Presentation: A 52-year-old female with a history of poorly controlled type II diabetes and osteoarthritis presented to the emergency department with acute weakness, malaise, chills, and right knee pain. The patient had chronic knee arthritis which acutely worsened over 2 days on the right side associated with swelling with the inability to bear weight. [...]