Case Presentation: A 59-year old man presented with high grade fever (102 F), non-productive cough, and malaise for two months duration. His medical history was significant for of relapsing Chronic lymphocytic leukemia; on chemotherapy, Chronic kidney disease, and invasive pulmonary aspergillosis diagnosed a year ago and treated with a 12-week course of voriconazole. Initial laboratory [...]

Case Presentation: A 54 year-old man with a history of opioid use disorder, housing insecurity and hypoplastic myelodysplastic syndrome presented with one month of shortness of breath, productive cough, fever, and chills. He also endorsed a twenty pound weight loss over the course of three months. He had presented to an outside hospital three weeks [...]

Case Presentation: A 33-year-old female with a history of alcohol use and rheumatoid arthritis presented with a 2 day history of sharp, peri-umbilical and left upper quadrant (LUQ) pain. She also reported one month of fevers, night sweats, unintentional 10 Lb weight loss, and a non-productive cough without hemoptysis. She underwent a dental extraction for [...]

Case Presentation: A 71-year-old female presented to an emergency department with progressive weakness and dyspnea with dry cough for 2 weeks; she was afebrile but hypoxic, requiring 2 liters oxygen by nasal cannula. Physical examination was remarkable for diminished right lung sounds. Labs were unremarkable except for elevated C-reactive protein (194.6 mg/L). Chest x-ray revealed a dense [...]