Case Presentation: A 39-year-old male with history of end-stage renal disease secondary to focal segmental glomerulosclerosis in addition to severe non-ischemic cardiomyopathy was determined not to be a candidate for kidney transplant in the United States due to his cardiac co-morbidity, and subsequently traveled to Nigeria to receive a kidney transplant from a living relative. [...]

Case Presentation: This is a 32 year old male with no pertinent medical history who presented to the emergency department with complaints of headache, body aches, vomiting, diarrhea, fevers and chills for 4 days. The patient also admits to generalized weakness and poor appetite. The patient denies any chest pain, dyspnea, shortness of breath. The [...]

Case Presentation: A healthy 43-year-old Caucasian male who recently traveled to East Africa was presented to the emergency department with a high-grade fever (105.3F), and myalgia. He denied taking malaria chemoprophylaxis. On presentation, he was febrile, hypotensive, and tachycardic. He appeared to be ill, and toxic with no palpable organomegaly. His initial blood tests revealed [...]

Case Presentation: A 41-year-old male presented with three-day history of fever with chills, headache, and emesis. His prior medical history was significant for splenomegaly with thrombocytopenia of unclear etiology for several years. He had recent travel throughout the United States and the United Kingdom. He also noted remote travel to East Africa, China and Chile [...]

Case Presentation: 32-year-old male with history of Stevens Johnson’s syndrome secondary to sulfa allergy presented to the emergency department with vomiting, non-bloody diarrhea, chills and fatigue after returning from a 2-week trip to Africa. He was diagnosed with E coli gastroenteritis and discharged home. He returned four days later with on-going fevers, vomiting, diarrhea, body [...]