Case Presentation: A 20-year-old female with no past medical history presented to a rural hospital with shortness of breath, sepsis, and a several-day history of right-sided throat pain 2 weeks after a dental procedure. Chest x-ray demonstrated bilateral lung opacifications and blood cultures were positive for Streptococcus constellatus. She was started on broad-spectrum antibiotics and [...]

Case Presentation: A 20-year-old man with a history of type 1 diabetes mellitus presented with five days of sore throat and intermittent fever. Two days prior to presentation, he was evaluated with findings including tachycardia with a heart rate of 124, fever to 38.7 degrees C, and an exam notable for tonsillar & oropharyngeal exudate [...]

Case Presentation: A 24 year old male with a history of childhood asthma and COVID in 2021 presented to ED with worsening sore throat, fevers, tenderness of his mouth and gums, and mild lightheadedness. He was recently diagnosed with streptococcal pharyngitis and started on oral penicillin three days prior to presentation. He was on no [...]

Case Presentation: The patient is a 23 years old Hispanic male with no significant past medical history presented to the ED with the chief complaints of sore throat, headache, nausea, vomiting for 5 days. He was at his baseline health status 5 days ago, when he started noticing malaise, followed by sore throat and fever. [...]

Case Presentation: A 23 year-old man with schizophrenia presented to the emergency department complaining of nausea, vomiting, headache, and subjective fever, followed by acute onset of right lower quadrant abdominal pain. His medications included chlorpromazine and benztropine. Vital signs: temperature 39 degrees C, pulse 155, respirations 18, and blood pressure 116/58. Admission exam was remarkable [...]

Case Presentation: An 86-year-old female with well-compensated cirrhosis due to primary biliary cholangitis (PBC) visited her PMD complaining of a fever of 102.2, nasal congestion, and sore throat that had started 2 days prior and was followed by a rapidly spreading malar rash that developed on the day she presented. The rash started with tiny [...]

Case Presentation: A 32-year-old female with a past medical history of substance use, anxiety, and depression presented with one day of facial erythema. The patient reported that she woke up with facial tenderness and swelling. She also had four days of nasal congestion which improved with Nyquil. On physical exam, patient was tachycardic, tachypneic, afebrile, [...]

Case Presentation: Lemierre’s disease is a rare and deadly infection caused by the Fusobacterium species which results in bacterial pharyngitis that spreads through pharynx soft tissues into the carotid arteries, resulting in widespread bacteremia and thrombosis. Outcomes are reliant on early diagnosis and initiation of treatment, with mortality rates as high as 20%. The rarity [...]