Case Presentation: Patient is a 51-year-old man who presented with complaints of progressively worsening dyspnea, productive cough, sore throat and intermittent fevers of about 1 week. He has a past medical history of tobacco use. Initial vitals showed a temperature – 100.5F, heart rate – 118 bpm ,blood pressure – 119mmhg/60mmhg , respiratory rate – [...]

Case Presentation: A 77-year-old female was brought to the emergency with lethargy, confusion, fever for 3 days and neck pain. She had a recent trip to the Caribbean where she was taking Metamizole to manage neck pain. Her physical exam was notable for fever, sinus tachycardia, cervical lymphadenopathy, a muffled voice, and stridor. Initial blood [...]

Case Presentation: A 32-year-old man with no significant past medical history presented with one day of respiratory distress and fever, sore throat, left neck pain and cough for 3 days. He appeared acutely ill, febrile, tachycardic and tachypneic. Lung exam revealed bronchial breath sounds and crepitation on bilateral lower lobes. Laboratory studies revealed neutrophilic leukocytosis and a normal [...]

Case Presentation: A 20-year-old otherwise healthy male presented with a three day history of fever, sore throat, and myalgias. He was given supportive care and discharged home after testing negative for strep. He returned three days later with pleuritic chest pain, neck and ear pain, and had developed trismus. On arrival, his heart rate was [...]

Case Presentation: Lemierre’s syndrome is a clinical syndrome characterized by septic thrombophlebitis of the internal jugular (IJ) vein after an oropharyngeal infection. We present a case of a 36-year-old man with no significant past medical history who presented with one week of subjective fevers/chills, sore throat, and dysphagia. On initial evaluation, vital signs were only [...]

Case Presentation: A 31-year-old man presented to the ED with 2 days of fever and odynophagia, without neck pain. The physical exam was notable only for post-pharyngeal erythema without cervical lymphadenopathy. Blood cultures were drawn. The patient was discharged after reporting feeling better with a presumptive diagnosis of a viral infection. 5 days after the [...]

Case Presentation: A 15 year-old male with no significant medical history presented with fever, fatigue, headache, and neck pain with stiffness. His symptoms began several days prior to presentation and progressed to inability to fully move his neck, throat and jaw pain, and cognitive slowing. In the ED he underwent evaluation for infection and meningitis. [...]

Case Presentation: A 53-year-old male with no prior medical history presented to our institution with a 6-day history of fever and lumbar pain. He denied experiencing a sore throat. Upon examination, conjunctival icterus was observed. No dental caries were detected in the oral cavity. Laboratory analysis revealed an elevated inflammatory response, characterized by a white [...]

Case Presentation: A 25 year old woman with history of asthma presented to the emergency department with one week of sore throat, cough, shortness of breath, nausea, vomiting, and diarrhea. Upon arrival, she was hypotensive, tachycardic, tachypneic, febrile, and was found to have leukocytosis, elevated lactate, procalcitonin, and creatinine prompting concern for septic shock. She [...]

Case Presentation: A healthy 22-year-old presented with four days of acute onset emesis, jaundice, and fever. Four days prior to presentation, the patient ate fried chicken and rice for lunch. Four hours later he had twelve episodes of non-bilious non-bloody vomiting, without associated diarrhea or abdominal pain. Over the next three days, he developed progressive [...]