Case Presentation: A 76-year-old male with systemic capillary leak syndrome (SCLS) and monoclonal gammopathy of undetermined significance (MGUS) presented with syncope. On the day of presentation, he was sitting on his bed when he developed lightheadedness followed by approximately 2 seconds of unwitnessed loss of consciousness. He denied head trauma, chest pain, shortness of breath, [...]

Case Presentation: 36-year-old male presented to ID clinic with painful left neck lump of 4 months duration worsening with pain and size for 2 months. Patient has h/o AIDS 2 years ago with cryptococcal meningitis, finished course of antibiotics and in remission with recent VL < 20, CD4 count 322, on daily Biktarvy. He also [...]

Case Presentation: A 21-year-old healthy female presented with diffuse muscle soreness, bilateral thigh pain, and one day of dark colored urine after an intense spin class five days prior. Two days prior, the patient presented to an urgent care clinic and was told that she had blood and protein in her urine likely due to [...]

Case Presentation: An 80-year-old male with a history of atrial fibrillation post-ablation on apixaban, COPD, hypertension, and Stage IIIC malignant melanoma post-immunotherapy with nivolumab complicated by non-resolving pneumonitis presented with worsening dyspnea and tachycardia. In the ED, he was found to have atrial flutter with rapid ventricular response (RVR), elevated high-sensitivity troponin, and brain natriuretic [...]

Case Presentation: A 27-year-old male presented to the hospital after developing jaundice with elevated transaminases on routine labs. Patient described preceding two-week febrile illness characterized by general malaise, chills, and myalgias. He received two courses of antibiotics without resolution of symptoms. To manage fever, he consumed 7 grams/day of acetaminophen consecutively for 5 days. His [...]

Case Presentation: Patient is an older female with PMHx of HTN, hypothyroidism, anxiety, who presented to an outside hospital with 2 weeks of SOB, DOE and RLE swelling. In the OSH, RLE Doppler revealed a DVT and she was found to have bilateral PE with moderate interstitial pulmonary edema. She also reported symptoms of dark [...]

Case Presentation: 84-year-old female who came to hospital with complaints of mild watery diarrhea, generalized weakness, subjective fevers and chills for 4 days. Patient has PMH hypothyroidism, chronic dysphagia, inclusion body myositis, interstitial lung disease, and pulmonary hypertension. Patient lives alone and due to increasing weakness was brought in by family for further evaluation. In [...]

Case Presentation: A 49-year-old female presented to the emergency department with three weeks of lower extremity swelling, new abdominal distension, and weight loss. She had no relevant past medical history, but she recently established care with a functional medicine provider who prescribed her multiple herbal supplements around the time of her symptom onset. On arrival, [...]

Case Presentation: A 59-year-old female with medical history significant for depression/anxiety, CAD, hypothyroidism, and tobacco use, recently admitted for leukopenia and normocytic anemia thought to be secondary to Epstein Barr Virus (EBV), Parvovirus, and adverse drug event from cefdinir use, presents with persistent fatigue and weight loss to an outside hospital. She was noted to [...]

Case Presentation: West Nile Virus (WNV) was first reported in the Western Hemisphere in New York City in 1999. Over the last two decades West Nile Virus has spread to an impressive distribution from central Canada to Southern Argentina. Transmission of the virus is maintained in a cycle between Culex species mosquitos and birds as [...]