Case Presentation: A 21-year-old male with past medical history of Crohn’s disease on monthly infliximab infusion initially presented to the emergency department with a 5-day history of joint pain. He first noted left-sided pain that was only relieved by heat, but it progressed to left hip and groin pain made worse with movement. The patient [...]

Case Presentation: An 85-year-old gentleman who was started on intra-vesical BCG therapy for Tis staged bladder cancer presented to the hospital with excruciating asymmetric polyarticular joint pain.He previously completed induction therapy successfully, during which he had developed cystitis. Subsequently, the patient received 3 doses of maintenance therapy, and on day 5 after his last dose [...]

Case Presentation: A young man presented to the ED with four days of severe, sharp midsternal chest pain, fevers, diffuse arthralgias, bilateral conjunctivitis, diarrhea, and fatigue. He reported sexual intercourse with an HIV positive male partner four months prior to presentation and a history of multiple STI’s diagnosed in the past 6 years. Vitals: 101.5F, [...]

Case Presentation: A 59-year-old man with well-controlled HIV and treated hepatitis C presented with polyarthralgia and rash. He noticed that his right arm, left wrist, first toe and knee were painful and erythematous. He reported one day of nausea and vomiting but had no respiratory, urinary, or visual symptoms. He denied recent infections, travel, or [...]

Case Presentation: A healthy 34-year-old female presented to the hospital with severe left lower extremity pain. Patient endorsed 4 days of progressively worsening left upper thigh and hip pain that caused her to become bed bound, prompting her to come in. She also reported fevers, chills, cough, and myalgias but denied vomiting, diarrhea, numbness, or [...]