Case Presentation: A 26-year-old woman with no PMH presented to the emergency department (ED) with persistent fever for six days. Patient had dry cough and low grade fevers with one spike to 40oC. After four days of symptoms, patient began azithromycin without relief. One day prior to presentation, patient was discharged from ED for presumed [...]

Case Presentation: A 24-year-old man with no known past medical history presented with a one week history of nightly fevers to 38.8-39C. Two weeks prior to presentation, he spent the weekend at Fire Island in Long Island, NY at a log cabin where he had a BBQ dinner. One day later he experienced severe abdominal [...]

Case Presentation: A 66-year-old man with uncontrolled type 2 diabetes mellitus (hemoglobin A1c = 18.1%) presented with one month of worsening pleuritic chest pain, productive cough and 10-pound weight loss. He denied any gastrointestinal (GI) symptoms, including diarrhea or abdominal pain. He worked as a clinical nursing assistant. Patient denied any recent international travel, animal [...]

Case Presentation: 34 year old lady with AML presented with diarrhea of 2 days duration and was found to be positive for Salmonella on GI PCR, which was subsequently confirmed on stool culture.She was started on Ciprofloxacin for treatment and discharged. Returned 2 days later with resolved diarrhea but was febrile and now found to [...]

Case Presentation: A 51-year-old man with history of alcoholic cirrhosis presented with diarrhea, abdominal pain, fatigue and confusion for one week. Vitals were within normal limits, though the patient reported subjective fevers at home. Physical exam was notable for asterixis and ascites, and a paracentesis was performed. Cell count and culture of his ascitic fluid [...]

Case Presentation: A 33-year-old man with recent travel to India presented with fevers, abdominal pain, and bloody stools. He was admitted two weeks prior to a hospital in India for fever and right upper quadrant pain where he was found to have elevated liver enzymes (ALT 569, AST 390, total bilirubin 9.9) in addition to [...]

Case Presentation: A 20 year old female with two prior typhoid episodes, presented to the hospital with a three week history of epigastric pain. The patient returned from a one month trip to Bangladesh four weeks prior. She subsequently began experiencing squeezing epigastric pain, subjective fevers, yellow discoloration of her skin, and decreased oral intake. [...]

Case Presentation: A 58-year-old male with limited prior health care utilization with presumed longstanding untreated HTN, otherwise unknown medical history, presented to a rural hospital with lethargy, confusion, acute renal failure of unknown duration. His personal history is significant for being exposed to pigs and chicken. On exam, he had a left lower extremity wound [...]

Case Presentation: A previously healthy, obese 15-year-old male presented to an ED in North Carolina with acute encephalopathy preceded by six days of flu-like symptoms with one day of diarrhea and cough. On presentation, he was febrile, tachycardic, tachypneic, with other vital signs normal. He was disoriented with slowed speech, inappropriate laughter, and delayed verbal [...]

Case Presentation: A 21-year-old male with no past medical history presented to the hospital in October 2020 with over a week of abdominal pain, fever, cough, and congestion. The patient noted that these symptoms had persisted despite taking Augmentin for presumed sinusitis. He had a negative COVID-19 test 4 days prior to admission and no [...]