Case Presentation:   We present a case of 37y.o.  woman, a  previously healthy visiting scholar from China, who presented with nausea, vomiting, diarrhea and vague diffuse abdominal discomfort . Her initial laboratory results were essentially normal.  Emergency room evaluation concluded viral gastroenteritis and she was released home.  She returned 4 days later complaining of fever and poor appetit, [...]

Case Presentation: A 34-year-old man with a recent history of perforated appendicitis was admitted with a 2-week complaint of nausea, vomiting, abdominal pain and fever. His past history only included an appendectomy 6 months prior, with no history of intravenous drug use, prior diverticulitis, or biliary disease. On exam, he was febrile to 101.1°F, tachycardic, [...]