Case Presentation: 61-year-old male with a known history of alcohol and tobacco abuse was admitted with 3 months history of headache, confusion, unsteady balance and unintentional weight loss. Laboratory tests included normal chemistry panel, complete blood count and negative hepatitis and HIV serology. Brain imaging showed 3 lesions in the right cerebral convexity with surrounding [...]

Case Presentation: A 55 year old male with past medical history significant for congestive heart failure, severe persistent asthma and eosinophilic pneumonia on chronic prednisone and status post bronchial thermoplasty presented with fever, cough, shortness of breath and chest pain of 2 weeks and hemoptysis of 3 days duration. He also had two recent hospitalizations [...]

Case Presentation: A 78-year-old woman with severe persistent asthma on a maximum dose of inhaled corticosteroids (ICS) was admitted for lethargy and skin nodules on her thighs. She had three hospital admissions in the past two months for reported pneumonia. She was found to have fever, left basilar crackles, and multiple violaceous, firm, tender subcutaneous [...]

Case Presentation: A 51-year-old African American female with a past medical history of hypertension, hyperlipidemia, and alcohol use disorder presented with acute onset confusion and difficulty with communication upon awakening preceded by intermittent mild headache for a few weeks. While in the emergency room, the patient experienced a grand mal seizure. The patient was afebrile [...]

Case Presentation: A 52-year-old male presented to the emergency department multiple times the month prior to admission with progressively worsening right ankle and wrist pain, generalized myalgia, fatigue and worsening hoarseness of voice. His past medical history was notable for acute lymphoblastic leukemia (in remission for 2 years) complicated by aspergillus pneumonia. On the presentation [...]

Case Presentation: A 73-year-old man with a history of atrial fibrillation on apixaban and panhypopituitarism secondary to resection of a pituitary adenoma in the 1980s presented to our hospital for chest pain. His recent history is notable for recurrent cystitis and Clostridium difficile infections requiring stress-doses of glucocorticoids; his endocrinologist had been attempting to taper [...]

Case Presentation: Nocardia has a known predilection for brain tissue and may present with unique symptoms. We share a case of significant dysgeusia in a presumptively immunocompetent patient as a complication of disseminated nocardiosis.A 70-year-old previously healthy male with a history of diabetes, presented with three months of fatigue, productive cough, loss of appetite, and [...]

Case Presentation: An 87-year-old male presented to the emergency department following a syncopal episode, preceded by one week of generalized weakness, poor oral intake, and acute left leg pain. His medical history included heart failure with preserved ejection fraction (HFpEF), atrial fibrillation (AFib), chronic kidney disease (CKD) stage IV, rheumatoid arthritis (RA) managed with chronic [...]

Case Presentation: A 37-year-old man, diagnosed with HIV two years ago and currently not on antiretroviral therapy, presented with flu-like symptoms and weight loss over the last two months and confusion for two days. The patient denied any international travel outside the United States. On presentation, he was found to have severe hyperkalemia and acute [...]

Case Presentation: A 68-year-old male with a three-year history of kidney transplantation on chronic immunosuppression presented with persistent hypotension and acute right leg pain secondary to a right lower extremity abscess. Initial comprehensive computed tomography (CT) revealed multiple additional abscesses, including neck, forearm, retroperitoneal, paravertebral and numerous pulmonary nodules. Given concerns for possible disseminated Nocardia, [...]