Case Presentation: This is a 50-year-old woman with a history of Rheumatoid Arthritis on Rituxan and methylprednisolone, COVID-19, MGUS, and recent admissions for bacterial pneumonia and fever of unknown origin who presented with fevers, rigors, and dizziness. Of note, she had tested positive for COVID-19 on 4/2020 via a nasopharyngeal swab, and states fevers began [...]

Case Presentation: A 69-year-old male with history of iron deficiency anemia, recurrent venous thromboembolism on apixaban, splenomegaly, ulcerative colitis who presented to emergency department due to exertional shortness of breath. 6 weeks prior to admission, the dose of azathioprine was increased from 50mg daily to 100mg daily due to suboptimal 6-thioguanine nucleotide (6-TGN) level. 1 [...]

Case Presentation: A 30-year-old male with type two diabetes mellitus and morbid obesity presented with one month of generalized weakness, fatigue and fever. This was his third hospitalization with these same symptoms; no definitive diagnosis was identified the previous two. He also complained of headache, a dry cough, and upper abdominal pain. Pertinent exam findings [...]

Case Presentation: An 83-year-old male with a history of renal cell carcinoma s/p nephrectomy, chronic kidney disease, and hypertension presented to the Emergency Department with several weeks of recurring fevers to 103°F, chills, malaise, fatigue, night sweats, anorexia, and an unintentional weight loss of 4.5 kg. He denied arthralgias, myalgias, neurologic symptoms, rashes, diarrhea, or [...]

Case Presentation: A 38-year-old male dentist presented with several days of bilateral lower extremity rash and migratory large joint arthritis in the setting of fevers, myalgias, and a recent viral illness in his 3-year-old daughter. His medical history included remote testicular cancer post-orchiectomy. He was referred by his primary care provider who noted bilateral (right [...]

Case Presentation: A 81 year-old Caucasian male presented to the emergency department with fever and altered mental status for two days. Further chart review revealed history of nausea, vomiting, myalgias, abdominal pain, and unintentional 35 pound weight loss over the six months prior. At the time of admission the patient was lethargic, febrile and tachycardic. [...]

Case Presentation: A 42 year old female with history of pain, anxiety, depression, substance use disorder, and atrial septal defect who was admitted for workup of 6-7 months of fevers at home. She had been admitted about 1 month prior for workup of fever of unknown origin. Workup at that time revealed candida esophagitis, but [...]

Case Presentation: A 42-year-old woman with no past medical history presented to the emergency department with four days of facial swelling and progressive, painless skin lesions on her back and extremities. Six months prior to presentation, the patient reported dark patches on her bilateral lower extremities while experiencing fever and chills. A skin biopsy was [...]

Case Presentation: A 19 year old female presented to the student clinic with fevers up to 103 degrees F recurring daily over a period of weeks. She endorsed diffuse body aches and nausea/vomiting. Two years prior, she was diagnosed with Kikuchi disease, a benign self-limited lymphadenitis, following a lymph node biopsy in Bangladesh. Symptoms at [...]

Case Presentation: A 39 y/o Hispanic man presented with 1 week of fever, headache, photophobia, and mild confusion. His complaints and physical examination were consistent with possible meningitis, so empiric treatment with vancomycin, ceftriaxone and acyclovir was initiated following blood cultures. Laboratory data was significant for mild hyponatremia, transaminases 3-4X normal, monocytosis, and surprisingly normal [...]