Case Presentation: A healthy 65-year-old male was admitted to the hospital for presumed COPD exacerbation and despite treatment developed hypoxic respiratory failure and shock, transferring to the intensive care unit (ICU) for further management.On arrival, he was tachycardic (120 BPM), BP 74/47 mmHg, febrile (39.0℃) and mechanically ventilated (RR 14) concerning for septic shock. Examination [...]

Case Presentation: A 72 year old woman with osteoarthritis presented to with a 3-day history of fever and chills. A few days prior to presentation, she had received a glucocorticoid injection for left knee pain. Upon assessment of her initial vitals, heart rate was 122 bpm, blood pressure was 147/77 mmHg, respiratory rate was 22, [...]

Case Presentation: A 65 year old female with a history of type one diabetes presented to an outside hospital with malaise, fatigue, and fever for two weeks. Her social history was notable for frequently participating in the interactive game of Geocaching in the outdoors of southeastern PA. On arrival she had severe sepsis with a [...]

Case Presentation: An 81-year-old male presented in July with two months of recurrent fevers. He was initially hospitalized in early May for LLQ pain, diarrhea, and imaging findings consistent with diverticulitis and a small pericolonic abscess. He was discharged on ciprofloxacin and metronidazole with outpatient colorectal surgery follow-up. He required subsequent admissions in late May [...]

Case Presentation: An 81-year old healthy male from Upstate New York without significant past medical history presented as a transfer from an outside hospital with a 5-6 day history of fevers, malaise, vague abdominal pain, and worsening confusion. There was no travel outside of the local area in the previous six months. The patient was [...]

Background: The incidence of tickborne disease has recently increased in the United States, as longer summers and milder winters have led to a surge in tick populations (1). The impact has been most marked in New England, where temperatures are rising faster than the global average, particularly in winter (2). Babesiosis is a tickborne illness [...]