Case Presentation: A 68 year old male with a history of end stage renal disease (ESRD) on hemodialysis, s/p cardiac transplant for refractory ischemic cardiomyopathy, and Cerebrovascular accident presented to the emergency department (ED) with fevers, lethargy and penile discharge. In the ED, he ws noted to be febrile with a temperature of 102.7 ºF.  He had no frank hematuria, flank pain, chest pain, [...]

Case Presentation: Patient is a 23-year-old male with attention deficit hyperactivity disorder and depression who presented with a chief complaint of shortness of breath and bluish discoloration of his skin. Patient was at a friend’s house for dinner where he ate pork leg and returned home thereafter. One hour after dinner, he began to experience [...]

Case Presentation: A 67-year-old male with a history of hypertension, coronary artery disease status post-stent placement in 2017, Parkinson’s disease, and prostate cancer status post-open prostatectomy in 2004, presented after being found unresponsive in a hotel room. A bottle labeled “Super Rush,” a nitrite-containing substance, was found nearby. Emergency Medical Services (EMS) reported initial bradycardia, [...]

Case Presentation: A 36 year old male with history of schizophrenia, alcohol dependence and remote drug abuse presented to the emergency department with 3 weeks of dry cough without dyspnea, post-prandial nausea, intermittent lightheadedness, dark urine, jaundice and progressive fatigue. He had no recent travel or sick contacts, medications included chronic monthly injections of paliperidone [...]