Case Presentation: A healthy 3-year-old boy presented with 5 days of a scaly and crusting rash on the left side of his face that began as a few bumps on his left forehead (Image 1). He had no history of chickenpox, is up to date on immunizations including varicella, and has no family history of [...]

Background: Adult patient populations are not effectively vaccinated in United States, which contributes to increased rates of hospitalization, cost of medical care and disease complications. Though physicians’ understanding of vaccination measures should be comprehensive, many studies have indicated that adult patients are not receiving their vaccinations as they should. One study during a pertussis outbreak [...]

Case Presentation: A 27-year-old man with HIV/AIDS was directly admitted to the hospital by his infectious disease specialist for worsening and recurrent headaches accompanied by a multitude of episodic neurologic symptoms, including off-balance sensations, left arm numbness and tingling, left-sided decreased hearing, and slurred speech.  He had a history of shingles five months prior which [...]

Case Presentation: A 31-year-old male with past medical history of narcolepsy, migraine, anxiety, depression, and motor tics disorder presented to the hospital complaining of headache, left sided weakness and intermittent left upper extremity paresthesia for 3 days. Physical examination was remarkable for decreased left upper extremity sensation; motor strength was 5/5 in all 4 extremities. [...]

Case Presentation: A 70-year-old gentleman with past medical history significant for chronic hypoxic and hypercapneic respiratory failure from chronic obstructive pulmonary disease (FEV1 of 0.76 liters, 22% of predicted), hyperlipidemia, and hypertension presented with worsening exertional shortness of breath of four days duration. He also had dry cough. He denied fever, chills, chest pain, paroxysmal nocturnal dyspnea or [...]

Case Presentation: A 60-year-old woman with past medical history of Systemic Lupus Erythematous (SLE) on daily mycophenolate mofetil and hydroxychloroquine, Antiphospholipid Syndrome on warfarin, history of aneurysm s/p clipping and diabetes presented to an urgent care clinic due to severe headache and dizziness. During examination, she was noted to have hesitancy with neck flexion, prompting [...]

Case Presentation: 78 year old Asian female with a history of diabetes mellitus type II, hypertension, and recently diagnosed colon cancer presented with severe left ear pain and vesicular rash associated with left sided hearing loss and left facial paralysis. She endorsed decreased taste sensation as well as poor appetite resulting in twenty pounds of [...]

Case Presentation: A 58-year-old Spanish-speaking, uninsured man presents to primary care for a rash and is diagnosed with poison ivy and treated with prednisone. He eventually presents to the emergency department with ulcerative, crusting lesions of his right nasal ala, eyelid, scalp, philtrum, and lips. The lesions overlay a desquamative rash that covers his right [...]

Case Presentation: An 83-year-old male with type 2 diabetes (hemoglobin A1C of 10.9) and recurrent herpes zoster presented with 3 days of worsening unilateral facial pain, headache, rash, and nausea. Of note, the patient had been vaccinated with the live varicella zoster virus (VZV) vaccine (Zostavax) 3 years prior. Physical exam revealed a right sided [...]

Case Presentation: A 76-year old female presented to the emergency department (ED) with fever, chills, nausea, vomiting, diarrhea, back pain and weakness in lower extremities. Two weeks earlier, patient received her first dose of Shingrix vaccine. Just one day after receiving the vaccine, she developed fever and gastrointestinal symptoms. She was admitted to the hospital [...]