Case Presentation: An 86-year-old male with a past medical history of bladder cancer, status post Bacillus Calmette-Guerin (BCG) therapy 12 months prior, presented to the ED with three months of progressively worsening back pain and weight loss. He denied cough, fever, night sweats, dysuria, recent travel, history of farming, exposure to cattle, or consumption of [...]

Case Presentation: The patient is a 36 year-old man with no significant past medical history who presented with 1.5 months of worsening left sided low back pain and sciatica that rapidly progressed to bilateral leg weakness. Three days prior to presentation, he lost his ability to ambulate and had an episode of fecal incontinence associated [...]

Case Presentation: A 51 year old male with history of obesity, spinal stenosis, and gout presented with 1 week of worsening low back pain with bilateral radiculopathy. He had no bladder or bowel incontinence, or other neurologic compromise. He was afebrile, with normal vital signs. Lab data was significant for WBC 25 x 10^9/L, hemoglobin [...]

Case Presentation: A 34-year-old male with history of methamphetamine use presented with a one-week history of neck, shoulder, and wrist pain, intermittent radiculopathy, fevers, chills, myalgias, and arthralgias, and a one-day history of confusion. He denied rash, urinary symptoms, diarrheal illness, IV drug use, recent travel, and new sexual contacts. On admission, he was afebrile, [...]

Case Presentation: 48-year-old man with past medical history of AIDS, unknown recent CD4 count presented to the ED complaining of slurred speech and disorientation for 3 days associated with fever and generalized body ache. Patient was admitted for stroke workup (CTH, CTA head/neck, and MRI brain) which resulted negative and there were also concerns for [...]

Case Presentation: A 59 year-old woman with uncontrolled diabetes mellitus and end-stage kidney disease on hemodialysis presented with altered mental status and a suprapatellar abscess. Following irrigation and debridement, her course was complicated by septic shock. She was found with high-grade methicillin-sensitive Staphylococcus aureus bacteremia, and her blood cultures ultimately sterilized with IV cefazolin therapy. [...]

Case Presentation: A 31-year-old healthy man presented with several days of chest and back pain associated with shortness of breath, subjective fever, headache, and photophobia. The patient worked in construction and complained of a recent itchy, vesicular rash to his forearm. Review of systems was otherwise negative for recent procedures or surgeries, IV drug use, [...]

Case Presentation: A 56-year-old female with a history of cervical cancer in remission, post-chemotherapy and total hysterectomy, and insulin-dependent diabetes mellitus, was admitted for worsening chronic lower back pain, which had intensified over the past two weeks. She denied paresthesia or weakness. On examination, she was diaphoretic, shivering, and afebrile, with a blood pressure of [...]