Case Presentation: A 40 year-old male went camping in southeast Missouri in May and suffered tick bites. He developed a fever, rash and myalgias. He was treated with doxycycline, which was discontinued due to anaphylaxis. Due to worsening abdominal pain and fatigue he went to the hospital. He was febrile, ill-appearing, and jaundiced. He had [...]

Case Presentation: A 50-year-old man with a past medical history notable for non-alcoholic fatty liver disease, peptic ulcer disease, gout, and depression presented to the emergency department with a 5-day history of constant, sharp, epigastric abdominal pain. Preceding these symptoms, he experienced an episode of severe nausea, non-bilious non-bloody vomiting, diarrhea, and chills after eating [...]