Case Presentation: A 33-year-old man with recent travel to India presented with fevers, abdominal pain, and bloody stools. He was admitted two weeks prior to a hospital in India for fever and right upper quadrant pain where he was found to have elevated liver enzymes (ALT 569, AST 390, total bilirubin 9.9) in addition to [...]

Case Presentation: A previously healthy, obese 15-year-old male presented to an ED in North Carolina with acute encephalopathy preceded by six days of flu-like symptoms with one day of diarrhea and cough. On presentation, he was febrile, tachycardic, tachypneic, with other vital signs normal. He was disoriented with slowed speech, inappropriate laughter, and delayed verbal [...]

Case Presentation: An 8-year-old HIV-negative boy presented to a hospital in Malawi in septic shock secondary to typhoid fever with ileocecal perforation. He underwent repair and peritoneal washout without bowel resection. He was treated with ceftriaxone, metronidazole and supportive care. Initial labs were notable for hemoglobin of 10g/dl, platelets of 22/dL, and WBC 2.8/dL. Two [...]