Case Presentation: This is a previously healthy 41-year-old man who presented with fevers, headache, and neck stiffness for 5 days. He also reported photophobia, anorexia, insomnia, nausea but no vomiting. He denied any recent travel and was not aware of any insect bites. The patient had a faint macular rash on his upper chest and [...]

Case Presentation: A 71 year-old woman with a past medical history of hypertension was admitted with generalized fatigue, weakness, and decreased concentration and memory for a week and a half. During this time, she also had fevers, sweats, anorexia and nausea. She was originally admitted to an outside hospital after falling and losing consciousness, diagnosed [...]

Case Presentation: 68-year-old man presented during summer with two weeks of weakness and shortness of breath. He had associated chills, myalgia, arthralgia, blurry vision, dry mouth, dizziness, dry cough, and dysuria. On initial presentation, he had new-onset atrial fibrillation (AFib) with rapid ventricular response and hypotension prompting admission to intensive care. After treatment with amiodarone [...]

Case Presentation: A 25-year-old Hispanic female presented to our hospital with a 2-day history of abdominal pain which began abruptly and was associated with fevers, chills as well as intermittent nonproductive cough which had been present since her last episode of pneumonia about 6 months ago. She was admitted to the ICU for management of [...]

Case Presentation: A 59-year-old female presented to the emergency department with a 5-day history of cough, chest pain, shortness of breath, and fever. She also reported nausea, vomiting, right upper quadrant abdominal pain and arthralgia. She denied any headaches. Past medical history was remarkable for gallstones. On physical exam, she appeared in moderate distress, was [...]

Case Presentation: An 80-year-old man with psoriasis on ustekinumab and type 2 diabetes mellitus (A1c 5.9) presented with seven days of fever. Two weeks prior to presentation, he underwent epidural steroid injection to the cervical spine for treatment of chronic neck pain. One week later, he developed fever to 103 °F. The patient had recently [...]

Case Presentation: A 54-year-old man presented with fever and malaise for two weeks associated with chills, non-bloody diarrhea, and unintentional weight loss of 8 lbs. He tested positive for influenza-A two weeks prior to presentation and was started on Oseltamivir by his primary care physician, without symptomatic improvement. There was no recent history of sick [...]

Case Presentation: A 54-year-old woman presented with severe neck pain and high fevers starting three weeks after spending a weekend in Burlington, Wisconsin. She had a wide breadth of symptoms including Bell’s palsy, shooting leg pain, arm weakness, tinnitus, jaw tightness, feeling like she had “sand in her eye,” and episodes of mental lucidity with [...]

Background: Murine typhus, a flea-borne rickettsial disease traditionally found in warm, humid climates, is increasingly reported in non-endemic regions due to factors such as climate change and urbanization. Characterized by nonspecific symptoms including fever, headache, rash, and elevated liver enzymes, murine typhus often mimics common febrile illnesses such as influenza, viral exanthems, or sepsis. Delays [...]

Case Presentation: A 41-year-old male with a history of amphetamine use and an inguinal hernia presented with epigastric abdominal pain with associated subjective fevers, and non-bloody, non-bilious emesis. On presentation, he was tachycardic, febrile to 39.8 degrees Fahrenheit, and hypotensive with a mean arterial pressure (MAP) of 57. An infectious work-up was performed with his [...]