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: 42-year-old male with HIV on ART presented in May with six days of fevers, non-bloody diarrhea, headache, and neck pain. He reported dyspnea and dry cough with potential exposure to COVID-19 as he had recently attended local protests. He reported new sexual partners and recently found ticks on himself.He was febrile and tachycardic. [...]

Case Presentation: We present a 70-year-old female with a past medical history of heart failure, atrial fibrillation, COPD, and type-2 diabetes mellitus who was admitted with subjective fevers, vomiting, diarrhea, and intermittent cough for five days. On admission, the patient was alert and oriented but febrile (39C) and tachycardic (112 beats/min). Laboratory tests were significant [...]

Case Presentation: A 53 year old male Missouri resident with a prior history of intravenous drug use, traumatic subdural hematoma, seizure disorder and a diagnosis of human immunodeficiency virus (HIV) / acquired immunodeficiency syndrome (AIDS) in 1990 presented to his local hospital in April with a 1 day history of fever and confusion. He was [...]

Case Presentation: A 77-year-old male with a PMH of atrial fibrillation, coronary artery disease, type 2 diabetes, hypertension and hyperlipidemia presented for a mechanical fall. He endorsed generalized malaise, subjective fevers, chills and fatigue days prior to the event. He denied any headache, cough or shortness of breath. On physical exam, he was febrile and [...]

Case Presentation: Learning Objectives: – To recognize ehrlichioisis as a possible cause of aseptic meningitis – To understand activities that increase the risk of tick-borne diseasesCase Presentation:A 69-year-old Black man presented to a Louisiana hospital with a two-day history of falls, intermittent disorientation, lower extremity weakness and pain, and urinary retention. He denied skin changes, [...]