Case Presentation: A 77-year-old male with past medical history of hypertension, hyperlipidemia, stroke, subarachnoid hemorrhage, and obstructive hydrocephalus status post ventriculoperitoneal shunt (VPS) placement presented with altered mental status and fever. A CT head showed worsening hydrocephalus. VPS was aspirated, fluid was non-infectious. Patient was empirically treated with vancomycin and zosyn for presumed sepsis. His [...]

Case Presentation: A healthy 19-year-old female presented to the emergency department with 6 days of progressively worsening fever, chills, body aches, sore throat, and a negative outpatient work-up for COVID, influenza, RSV, strep, and monospot. She appeared in acute respiratory distress, reporting new pleuritic chest pain, trismus, severe right neck pain, and tender lymphadenopathy. Her [...]

Case Presentation: IntroductionVibrio vulnificus is a gram-negative bacterium that can cause serious and sometimes fatal infections in humans. (1) It is the leading cause of shellfish-associated deaths in the United States.(2) Infections due to V. vulnificus are most common in individuals who have chronic, underlying illness like liver disease or hemochromatosis are at greatest risk.(2) [...]

Case Presentation: 65-year-old female who presented to the emergency department with diffuse abdominal pain persisting for one week. Her medical history is significant for diffuse large B-cell lymphoma, for which she had undergone chimeric antigen receptor (CAR) T-cell therapy six months prior to her presentation. Upon evaluation, she exhibited elevated liver function tests (LFTs), elevated [...]

Case Presentation: An 89-year-old female with a history of heart failure with reduced ejection fraction (HFrEF), atrial fibrillation, and prior left atrial appendage occlusion (Watchman) presented with altered mental status and generalized weakness. On admission, she required intensive care unit (ICU) support, including vasopressors and BiPAP for acute respiratory failure and septic shock. She briefly [...]

Case Presentation: 49 year old woman with past medical history of alcoholic cirrhosis and autoimmune hemolytic anemia treated with a course of steroids and rituximab 3 months prior who presented with 3-days of nausea, nonbloody/nonbilious vomiting and diarrhea associated with dysuria, and suprapubic discomfort. Vitals notable for heart rate 129/min, BP 115/61mmHg. Labs significant for [...]