Case Presentation: A 59-year-old Caucasian woman with asthma and PsA, treated with monthly guselkumab injections, presented with a one-week history of progressive shortness of breath and generalized weakness. Initial laboratory findings revealed leukocytosis and lactic acidosis, and arterial blood gas (ABG) indicated respiratory acidosis. Chest X-ray showed bilateral ground-glass opacities, and echocardiography revealed preserved ejection [...]

Case Presentation: The patient is a 63-year-old female who presented with 3 days of new-onset facial flushing, dysphagia, and diffuse left upper extremity and perioral paresthesias. She underwent a total thyroidectomy 4 days before admission for multinodular goiter with an NRAS mutation positive nodule, which carries a 75% risk of malignancy and a RYGB >10 [...]

Case Presentation: Leukocytoclastic vasculitis (LCV) is a rare immune complex-mediated vasculitis of the dermal capillaries and venules, classically presenting with palpable purpura. Here, we report a case of LCV presenting with lower extremity rash and proteinuria.A 54-year-old man with a history of gout, eczema, and hyperlipidemia presented with two weeks of swelling and burning rash [...]

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: A 62-year-old female presented to the Emergency Department with 48 hours of persistent palpitations and a week of poor oral intake, polydipsia, and polyuria. Her past medical history included Type II Diabetes Mellitus treated long-term with metformin and dapagliflozin. Two weeks before presenting to the Emergency Department, she transitioned from dulaglutide to tirzepatide [...]

Case Presentation: A previously healthy 45-year-old male, who recently immigrated from India, presented with worsening dyspnea at rest, epistaxis, hearing loss, and bilateral eye irritation after three weeks on rifampin, isoniazid, pyrazinamide, and ethambutol (RIPE) therapy. Negative Mycobacterium tuberculosis polymerase chain reaction (MTB PCR) and acid-fast bacillus (AFB) sputum culture results from the previous admission [...]

Case Presentation: A 67-year-old female with a 37-year history of seropositive rheumatoid arthritis (RA), managed with tocilizumab for the past two years, presented with a 3-month history of intermittent cough and blood-streaked sputum. Additional symptoms included generalized weakness, shortness of breath, intermittent low-grade fevers, chills, and night sweats. She denied unintentional weight loss, lightheadedness, dizziness, [...]

Case Presentation: A 60-year-old man with a history of alcohol use disorder was admitted to the emergency department due to difficulty moving. The patient was cachectic, agitated, febrile, and tachycardiac. Laboratory results showed hemoglobin 3.2 g/dL, MCV 150.4 fL, WBC 3,300/µL (83% neutrophils, 6.5% lymphocytes), platelets 178,000/µL, LDH 403 U/L, BUN 79.9 mg/dL, creatinine 2.72 [...]

Case Presentation: A 70 year old Caucasian male with coronary artery disease status post 3 vessel coronary artery bypass graft (CABG) (including a left internal mammary artery (LIMA) graft to left anterior descending (LAD) coronary artery), porcelain aorta, hypertension, heart failure with recovered ejection fraction, peripheral artery disease, and obstructive sleep apnea presented to a [...]

Case Presentation: We present a case of early and atypical checkpoint inhibitor pneumonitis (CIP) in an elderly female with chronic obstructive pulmonary disease (COPD) who received just two infusions of Pembrolizumab for stage III non-small cell lung carcinoma (NSCLC). Before starting immunotherapy, she had been receiving chemotherapy with carboplatin and paclitaxel for 6 months. The [...]