Case Presentation: A 12 year-old girl with a history of asthma and migraine headaches presented to the ED with a one week history of headaches and bloody tears. She first developed headache and left eye pain and pruritis one week prior, followed by blurry vision and bloody discharge from the left eye. She presented to [...]

Case Presentation: An 18 year old male presented with ten days of fever, sinus congestion, cough, right sided headache, myalgia and diarrhea. He had no significant past medical history but recently travelled to Bahia, Brazil and engaged in ocean swimming and sushi consumption. He had tested positive for Influenza A at his primary care office [...]

Case Presentation: A 65-year-old female with a history of sphenoid sinusitis status post recent fiberoptic endoscopic sinus surgery presented with one week of neck stiffness and two days of fever, headache, photosensitivity, and diplopia. Vital signs were: temperature 102.6, heart rate 82, respiratory rate 20, blood pressure 122/45 and 95% room air O2 saturation. Physical [...]

Case Presentation: A 51 year old female with a history of schizophrenia, COPD, and obstructive sleep apnea presented to hospital with complaints of generalized fatigue and acute onset of right-sided extremity weakness. The patient’s family members noted progressive lethargy and confusion on the day of admission. Family members reported the patient’s difficulty with ambulation and [...]

Case Presentation: A 54 year-old Hispanic man with a history of deep vein thrombosis (DVT) and glioblastoma multiforme treated with right parietal craniotomy and temozolomide, presented with fever, headache, and odynophagia. He reported a week of odynophagia with solids and liquids, worsening headaches, and fever of 100.4 F. His last cycle of temozolomide and radiation [...]

Case Presentation: A 22-year-old man with a history of sinusitis requiring surgery, presented with 3 weeks of right sided facial swelling and pain. He denied any facial trauma or drug use. He had used tap water for nasal rinses. The patient was diagnosed with sinusitis and treated with clindamycin and steroids but had progression of [...]

Case Presentation: A 53-year-old male, post-allogeneic hematopoietic stem cell transplant (HSCT) for relapsed acute myeloid leukemia (AML) presented to an outside hospital with high fevers, frontal lobe headaches, and blood-tinged sinus drainage, two weeks after completing chemotherapy. Days later, the patient was transferred to our hospital for advanced care, reporting continued fevers (up to 38.6oC), [...]

Case Presentation: A 41-year-old male with a history of recurrent sinusitis, asthma, chronic nephrolithiasis, and open angle glaucoma from steroid use presented to the emergency department with new onset pleuritic chest pain and dyspnea. Over the last 10 years, he had experienced chronic sinusitis that was significantly decreasing his quality of life. The patient previously [...]

Case Presentation: A 56-year-old female with a history of recurrent MRSA sinusitis and c-ANCA and PR3 positive granulomatosis with polyangiitis (GPA) presented with right-sided facial droop sparing the eye and upper face, unilateral facial numbness, and right-sided tongue deviation that began four hours before presentation. She also endorsed sinus fullness for the past three days [...]

Case Presentation: 35-year-old female with past medical history of mitochondrial disease, asthma, Fanconi syndrome, diabetes mellitus, and GERD presented to the hospital with a four-day history of dyspnea due to Rhinovirus seen on respiratory panel. The patient was managed in the intensive care unit for non-invasive ventilation support, and received solumedrol, albuterol, ipratropium, and azithromycin. [...]