Case Presentation: Lyme disease a multisystem disease, occurring globally is caused by the spirochete borrelia burgdorferi and transmitted by the Ixodes tick.(6) The incidence of Lyme carditis (LC) is rare with reported incidences of 4%- 10% but recent studies showing 0.3% to 4% with high grade AV block is the most common presentation.(5,2) We present [...]

Case Presentation: A 65-year-old man presented with anasarca and dyspnea on exertion that progressively worsened over three weeks. He had no known cardiac, renal, or liver disease prior to presentation. Physical exam revealed elevated jugular venous distention, bibasilar crackles, tense ascites, scrotal edema, and pitting edema in bilateral lower extremities extending to the abdomen. Investigation [...]

Cardiac involvement in systemic lupus erythematosus (SLE) is very common. Despite the relative frequency of pericarditis and pericardial effusions which occur in more than 50% of SLE patients, cardiac tamponade is rare and is seen in less than 3%. Additionally, there have been no consistent reliable predictors of tamponade development in such patients. We report [...]

Case Presentation: A 39 year old male with a history of congenital bicuspid aortic valve and ascending aortic aneurysm repair (1 year prior) presented with recurrent bilateral lower extremity edema (LEE). He first presented with LEE 3 months post-surgery.  Transthoracic echocardiogram (TTE) initially showed mild apical and inferior hypokinesis with a mildly dilated left atrium [...]

Case Presentation: A 36-year-old male presented to the emergency room with complaints of fever, exertional dyspnea, chest pain, and fatigue for two days. He describes his chest pain as sharp, substernal, and aggravated by lying down or inspiration. He denied any previous viral infection, cough, skin rashes, or joint involvement. He states that he has [...]

Case Presentation: A 72-year-old-female presented to the ED with an 8-month history of intermittent, progressive, substernal chest pain. EKG showed normal sinus rhythm without ischemic changes and troponin was negative. CT Angiogram showed a moderate pericardial effusion and mild wall thickening of the thoracic aorta concerning for vasculitis. Cardiac MRI showed aortitis with mild pericarditis [...]

Case Presentation: A 70 year-old female with hypertension and diabetes presented to the hospital with a one-day history of non-positional, left-sided chest pain associated with shortness of breath and subjective fevers. Physical exam and vitals were unremarkable. Work up included three negative troponins, EKG in normal sinus rhythm (Figure 1), and D-Dimer of 1100 ng/mL. [...]

Case Presentation: A 44-year-old female with a past medical history of uncontrolled type 2 diabetes mellitus (hemoglobin A1c 16.5%), hypertension, and obesity presented to the emergency room (ER) for left sided facial swelling after a mosquito bite. Physical exam revealed swelling, erythema, and tenderness and she was diagnosed with facial cellulitis, for which she was [...]

Case Presentation: A 27-year-old man with a family history of Grave’s Disease presented with acute onset pleuritic chest pain and associated shortness of breath. The patient endorsed subjective fevers and myalgias for one day prior to admission. Vital signs were significant for a heart rate of 110, otherwise unremarkable. Initial work-up showed troponin elevation to [...]

Case Presentation: A 19 y/o woman presents with dyspnea and chest pain that began one week ago. Dyspnea is worse on exertion. She also complains of substernal chest pain, worse upon breathing. Associated symptoms are subjective fevers, dizziness, sore throat, productive cough of green sputum and myalgias. Denies nausea, vomiting, abdominal pain, rashes, exposure to [...]