Case Presentation: A 33 year-old female without significant medical history was admitted as a transfer from an outside hospital for daily fevers and generalized weakness for the preceding two weeks associated with neck pain. Had undergone an extensive infectious disease workup prior to arrival with Computed Tomography (CT) of head, chest, abdomen, and pelvis, blood [...]

Case Presentation: A 28-year-old Caucasian male of European descent presented to the emergency department with a four day history of left upper quadrant abdominal pain that occurred following a day of skiing at 11,000 feet. On initial examination, he was afebrile, hemodynamically stable, and in distress from abdominal pain that localized to his left upper [...]

Case Presentation: A 39-year-old man with no significant past medical history was hospitalized with a 2-week history of constant burning left upper quadrant pain, headaches, myalgias, and fever/chills. The patient reported camping in Pennsylvania 1 month prior to presentation. In the ED, he was initially found to be febrile to 102.4F and hypotensive to SBP [...]

Case Presentation: A 39-year-old construction worker with no past medical history presented to the hospital with a 2-week-history of fatigue and left upper quadrant abdominal pain associated with intermittent high fevers and chills. Patient reports his 9-year-old daughter was sick with fevers and an upper respiratory tract infection a month ago right after a camping [...]

Case Presentation: We present a case of a 49-year-old male with a history of hereditary thrombocytosis who presented to the Emergency Department with a 4-day history of intermittent fevers, headache, nausea, abdominal pain and one episode of emesis. The patient recently returned from travel to Yemen. He was not taking anti-malarial prophylaxis. Initial vital signs [...]

Case Presentation: A 46-year-old woman with alcohol use disorder, hypertension, and hepatic steatosis presented with 1 week of daily fevers and left upper quadrant abdominal pain. She reported chills, night sweats, cough, postprandial nausea and vomiting, and an intermittent unilateral headache but denied other focal symptoms, recent travel, or sick contacts. She was febrile to [...]

Case Presentation: 32-year-old previously healthy man presented with a week of fatigue and five days of low-grade fevers. He reported mild left abdominal pain worsened with inspiration. He denied a sore throat and other upper respiratory symptoms. He recently travelled to northern Wisconsin where he obtained multiple mosquito bites. He had been in contact with [...]