Case Presentation: A 59-year old man presented with high grade fever (102 F), non-productive cough, and malaise for two months duration. His medical history was significant for of relapsing Chronic lymphocytic leukemia; on chemotherapy, Chronic kidney disease, and invasive pulmonary aspergillosis diagnosed a year ago and treated with a 12-week course of voriconazole. Initial laboratory [...]

Case Presentation: A 40-year-old man with inconsistently treated HIV infection presented with a progressive cough, dyspnea, and pleuritic chest pain over a two-week period which were associated with fevers, chills, night sweats, and a 40-pound weight loss. He emigrated from Mexico 10 years prior and had traveled to the central valley of California. On physical [...]

Case Presentation: A 52-year-old unvaccinated male with past medical history of asthma and uncontrolled obstructive sleep apnea presented to the ED ten days after receiving a diagnosis of COVID-19 with worsening dyspnea. He endorsed a cough, fever, chills, and non-bloody diarrhea, and denied chest pain, leg edema, and anosmia. His initial vitals were remarkable for an oxygen saturation of 65%. A CBC demonstrated leukopenia [...]

Case Presentation: We present the case of a 77-year-old man admitted with failure to thrive and progressive dyspnea. He had a 6-year history of lung squamous cell carcinoma and a recent history of immune checkpoint inhibitor (ICI) toxicity (myocarditis, pneumonitis, and hepatitis), currently on week 27 of a prednisone taper (35 mg daily). He was [...]

Case Presentation: We present a 68-year-old woman who was in her usual state of health until July 2019 who presented with abdominal pain, back pain along with unintentional weight loss. Imaging revealed a mass in her pancreatic body which was confirmed with EUS and biopsy as invasive pancreatic adenocarcinoma. In late August, she presented with [...]