Case Presentation: A 15-year-old male with HIV and inconsistent antiretroviral therapy adherence presented to an HIV clinic in Lilongwe, Malawi with weight loss, night sweats, lower extremity rash, and diarrhea. The rash on his legs had been present for 4 months and then spread to his arms. On exam, his vital signs were unremarkable. He [...]

Background: When left untreated tuberculosis has the potential to cause significant morbidity and mortality. In many instances adequate microbiologic therapy does not exclude chronic respiratory complications. Bronchostenosis is an under recognized complication with potentially far reaching complications. Methods: Patients with evidence of bronchial stenosis and lung volume loss who were previously treated with pulmonary tuberculosis [...]

Background: Even after successful treatment, many patients with tuberculosis (TB) suffer from post-TB sequelae. These may be structural complications (such as bronchiectasis, broncholithiasis, residual cavitation, COPD), infectious complications (such as COPD exacerbations, Aspergillus fumigatus infections, non-tubercular mycobacterial infections, pneumonia), or psychosocial morbidities (such as anxiety, depression, financial burden).[1] The impact of post-TB sequelae is not [...]

Case Presentation: A 48-year-old male with a history of hypertension and type 2 diabetes was sent to the emergency department for a “prostate x-ray” by his primary care physician due to elevated creatinine, hyponatremia, and two-day history of gross hematuria. The patient denied dysuria, fevers, chills, night sweats, and cough. He did note weight loss [...]

Case Presentation: A 70 year old female with recently diagnosed right sacroiliitis presented with worsening right hip pain. Five months prior to admission, patient was hospitalized at an outside hospital for right hip pain and fevers. Imaging was suggestive of sacroiliitis. Cultures were negative for pathogens and biopsy showed inflammation. Patient was diagnosed with likely [...]

Case Presentation: A 46 year-old man presented with one week of headache and shortness of breath. He also reported generalized fatigue, productive cough, and 40 lb weight loss. There were no sick contacts and review of systems was otherwise negative. He had been diagnosed with thymoma and myasthenia gravis six months prior to admission, at which [...]

Case Presentation: A 61-year-old African American male with history of recent atopic dermatitis treated with topical corticosteroids presented with 4 days of fevers, night sweats and worsening exertional dyspnea. On admission, he was febrile with decreased left lower lobe breath sounds. CT showed a moderate left-sided pleural effusion and left upper lobe cavitary lesion. The differential included both infectious and malignant etiology [...]

Case Presentation: A 49 year-old woman with end stage renal disease on peritoneal dialysis (PD) for the past year, presented with progressively worsening abdominal pain, fevers, and nausea. This was her second presentation as she had been treated with antibiotics for presumed culture-negative PD-catheter-associated bacterial peritonitis three weeks earlier without improvement. Admission vital signs and [...]

Case Presentation: A 28-year old Vietnamese man who has sex with men (MSM) with recent diagnosis of AIDS, on antiretroviral therapy (ART), presented to the hospital with 1 month of fevers associated with headaches, night sweats, anorexia, and diarrhea. He was born in Vietnam but moved to the United States 2 years prior to presentation [...]

Case Presentation: A 70-year-old Vietnamese gentleman without a significant past medical history was admitted to the hospital after a mechanical fall. Apart from facial pain related to the fall, the patient did not report any other symptoms. He was afebrile and hemodynamically stable. His physical examination was unremarkable. During his trauma evaluation, bilateral apical pulmonary [...]