Case Presentation: 65 y/o M with a history of Diabetes and Coronary Artery disease, but in his usual state of health presented with a five day history of malaise, productive cough, shortness of breath, fever, chills and rigor. Initial presentation and diagnostic studies were consistent with multi-lobar pneumonia and acute on chronic renal failure but [...]

Case Presentation: A 55-year-old male with no past medical history presented with 10 days of progressively worsening generalized weakness, malaise, and night sweats.The patient, employed as a landscaper, had been mowing grass and spraying rodenticides at a rural farm 3 weeks prior. Shortly after this incident, he awoke with a constellation of symptoms including fatigue, [...]

Case Presentation: An 83-year-old male with a history of renal cell carcinoma s/p nephrectomy, chronic kidney disease, and hypertension presented to the Emergency Department with several weeks of recurring fevers to 103°F, chills, malaise, fatigue, night sweats, anorexia, and an unintentional weight loss of 4.5 kg. He denied arthralgias, myalgias, neurologic symptoms, rashes, diarrhea, or [...]

Case Presentation: A 22yo woman with no PMH presented with 2 days of right axillary swelling. She endorsed a 5lb unintentional weight loss and a vague 2 year history of night sweats, but no fevers. She denied paraffin wax use. She works on a farm with rabbits, goats, and cats and reported tick exposures.Her exam [...]

Case Presentation: A 69 year old man presented with a two week history of high fevers and malaise after a spider bite behind his knee two weeks prior to admission. He also reported nausea, diarrhea, and crippling fatigue. His primary care doctor prescribed a course of amoxicillin-clavulanate but this had not helped. He lived in [...]

Case Presentation: A 36-year-old male with no significant medical history presented with one week of nocturnal fevers, rigors, cough associated with night sweats and 5 kg weight loss over one month. He immigrated from Guatemala 18 months ago, briefly lived in Arizona and Texas, and has worked as a landscaper locally for the past year. [...]