Case Presentation: A 63-year-old African American man with no past medical history, originally from the rural Pacific Coast in Colombia, South America, presented with two months of diffuse abdominal pain, intermittent diarrhea and dry cough. Other symptoms included low-grade fever and a 40-pound weight loss. He denied any rashes. Physical exam revealed a cachectic patient [...]

Case Presentation: A 71-year-old patient with a past medical history of hypertension, insulin-dependent type two diabetes mellitus with peripheral neuropathy, and deceased donor kidney transplant two years prior (CMV D-/R+ & EBV D+/R+) presented with a complaint of acute onset dark urine, and progressively worsening nausea, vomiting, and intermittent diarrhea. His immunosuppressive regimen consisted of [...]

Case Presentation: 38 year old male with history of rheumatoid arthritis presented to the emergency department with six months of episodic fever up to three times a week. Associated symptoms included occasional nonproductive cough and intermittent diffuse abdominal pain without any report of nausea, vomiting, or diarrhea. He denied any other localizing symptoms including dysuria [...]

Case Presentation: A 46-year-old Guatemalan male with a past medical history of hypertension, type 2 diabetes mellitus, iron deficiency anemia, and chronic ethanol use presented with intermittent fevers, bright red blood per rectum, loose bowel movements, and significant unintentional weight loss. Physical examination revealed right upper quadrant tenderness and conjunctival pallor but was otherwise unremarkable. [...]

Case Presentation: A 24 year old Hispanic male with history of ESRD due to presumed medullary cystic disease who underwent DDKT x2 first in 2/2011 complicated by acute vascular rejection with loss of transplant, then again in 11/2011 which was complicated by antibody mediated rejection in 2015 that was treated with plasmapheresis developed a subacute [...]