Case Presentation: A 44 year-old man who resides in Alexandria, LA presented via air ambulance from Honduras with three weeks of fever, night sweats, and right upper quadrant abdominal pain. He had associated nausea, vomiting, diarrhea, and headache. Exam was notable for fever and hepatomegaly. Serum studies revealed a creatinine of 6 mg/dL, elevated AST, [...]

Case Presentation: A 54-year-old- man with past medical history of Acquired immunodeficiency syndrome, recurrent Herpes simplex virus lesion, prurigo nodularis, presented with generalized weakness for one week. On physical examination, diffuse cervical, inguinal and popliteal lymphadenopathy was noted. Echocardiogram showed moderate pericardial effusion, which prompted the patient to undergo emergent pericardiocentesis in the setting of [...]

Case Presentation: A 47-year-old female with a history of kidney transplant on immunosuppressive medications presented with worsening confusion and dysarthria for two days. She also reported headache, intermittent fever, and shortness of breath for one month before her presentation. On presentation, her temperature was 103 F, heart rate was 131 b/m, with normal blood pressure [...]

Case Presentation: A 68 year old Ohioan male with history of chronic renal failure and prior evaluation for monoclonal gammopathy of undetermined significance (MGUS) presents with weakness and unintentional weight loss. Previous work up identified Bence Jones proteinuria, normal K/L ratio, serum immunofixation (IF) and serum protein electrophoresis (SPEP) with two IgG lambda bands and [...]