Case Presentation: A 54-year-old male with no past medical history presented with chief complaint of generalized weakness, fatigue, headache, loss of appetite and intermittent fever and chills for 5 days. On arrival to the ED, his vitals were notable for temperature was 102.3F.. Labs notable for a hemoglobin 12.5 g/dL, platelets 55×109/L, sodium 128 mmol/L, [...]

Case Presentation: A 44-year-old female with a history of SLE and chronic diarrhea presented with a one-day history of fever and lethargy. On admission, she was septic with a pancytopenia and a neutropenia with an ANC of 1.6. CT of chest, abdomen and pelvis showed non-specific enteritis, concordant with the chronic diarrhea history, but no [...]

Case Presentation: Anaplasmosis phagocytophilum is a rare, emerging tick borne illness transmitted by the Ixodes Scapularis tick endemic to the North Central and Northeastern United States. With an incidence of 6.1 cases per million in 2010, patients often present with nonspecific symptoms such as fever, leukopenia, thrombocytopenia, and transamintis. Cases outside of endemic areas are [...]

Case Presentation: A 77-year-old male with chronic kidney disease and mitral valve prolapse with a history of Lyme disease and West Nile Virus presented with fevers, night sweats, chills, and fatigue for 3 weeks. The patient had been visiting family in Texas for one month but gradually started to notice his symptoms. A few weeks [...]