Background: Nocardiosis is a rare but potentially severe infection that can affect the immunocompromised as well as the immunocompetent population. It presents as a localized or disseminated infection, most commonly introduced through the respiratory trac. A significant amount of time is often needed to establish a diagnosis of nocardiosis, which has been reported to be [...]

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 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: Pneumonia in an immunocompromised individual has a broad differential; the initial work-up and selection of antimicrobials can be challenging. We present a case of concomitant pulmonary nocardiosis and Pneumocystis jirovecii pneumonia (PJP). A 60-year-old male with hepatitis C infection status-post treatment with a negative viral load and chronic kidney disease (CKD) due to [...]

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: A 23-year-old male was transferred to a tertiary medical center for abnormal CT head imaging after presenting with 1 week of left-sided headache. He reported that his headache was waking him from sleep and was associated with morning vomiting. He denied fevers, chills, cough, or weight loss. His neurological exam was unremarkable, as [...]

Case Presentation: The patient is a 51 year old female with a past medical history of asthma, who presented with worsening, constant, right-sided frontal headaches for 1 month. Her headaches were associated with periorbital swelling and tenderness to palpation and swelling of her right scalp near a scar from a trauma 28 years ago. A [...]

Case Presentation: A 60-year-old man with a history of alcoholic cirrhosis and autoimmune cholangitis on azathioprine and prednisone (10 mg daily) presented to the emergency room for shortness of breath, productive cough, and chest pain for two weeks. Recent surveillance EGD had showed diffuse esophageal candidiasis and the patient had been started on daily fluconazole. [...]

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: An 86-year-old female presented with generalized weakness, nausea and shortness of breath. She had a one-year history of mantle cell lymphoma in remission for which she finished 6 cycles of Rituximab with Bendamustine followed with 9 months of Ibrutinib. Her labs showed abnormal liver enzymes and abdominal imaging revealed a 4.2cm left renal [...]