Case Presentation: A 44-year-old female with a history of SLE and chronic diarrhea presented with a one-day history of fever and lethargy. On admission, she was septic with a pancytopenia and a neutropenia with an ANC of 1.6. CT of chest, abdomen and pelvis showed non-specific enteritis, concordant with the chronic diarrhea history, but no [...]

Case Presentation: A 90-year old female with a medical history of atrial fibrillation, CAD and COPD presented with progressively worsening abdominal pain, nausea and vomiting for the past 3 weeks, which had acutely worsened over the past 1 week. She described the pain as epigastric with radiation to her right flank. Symptoms were aggravated on [...]

Case Presentation: A 21-year-old female recently started on doxycycline for acne presented to our institution with epigastric pain. On the third day of doxycycline initiation, the patient began feeling nauseous with progressively worsening pain. The pain was localized to the epigastrium, described as sharp, stabbing, radiating to her back, and rated as severe. The patient [...]

Case Presentation: A 63-year-old woman with multiple sclerosis, hypertension, and venous insufficiency was admitted with shock and diffuse rash. Two months earlier, she had a confluent, erythematous, pruritic, painful, bilateral foot rash that spread from the dorsi to the ankles with associated swelling. Clotrimazole resulted in mild improvement. Two weeks prior to admission, she developed [...]

Case Presentation: A 63-year-old man presents with a painful, erythematous lesion on his left thigh. He indicates that the lesion first appeared seven days ago and was followed by the onset fevers, chills, headaches, and body aches. The patient’s past medical history is notable for HIV on antiretroviral therapy with a recent CD4 count of [...]

Case Presentation: Fifty-five year-old-male presented with worsening tremors associated with fever, and generalized myalgias. On examination was found to have a low-grade fever, supraventricular tachycardia with elevated troponins, and a tender left inguinal lymph node. On further examination with transthoracic echocardiogram he was found to have new moderate aortic insufficiency, with a thickened sclerotic aortic [...]

Case Presentation: A 48 year old woman with a history of stroke, idiopathic intracranial HTN, type 2 DM, HTN, and obesity, presented a few hours after developing increasing confusion and lethargy. For 2 weeks, she also reports headache, neck pain, poor appetite, nausea, rare vomiting, and occasional diarrhea. Exposure history notable for owning a dog, [...]

Case Presentation: A 62-year-old male from a major urban city in Northeast US with history of hypertension and type II diabetes mellitus presented with fevers and thigh pain for three days. He had no recent travel history, sick contacts, or bug bites. Physical examination was notable for injected conjunctiva. Lab work revealed leukocytosis, thrombocytopenia, acute [...]