Case Presentation: A 9-year-old female was admitted to a community hospital for intravenous antibiotic treatment of a purulent draining wound on her left shin (Image 1), which had worsened despite completing a 5-day course of oral clindamycin. An ultrasound of the wound showed a 0.8 cm complex hypoechoic collection, prompting urgent incision & drainage for [...]

Case Presentation: A 72-year-old male with hypertension, chronic kidney disease, and nephrolithiasis presented with six months of progressive weakness, unintentional weight loss, and fatigue. He had recurrent hypercalcemia, pancytopenia and recently diagnosed cirrhosis of undetermined etiology. The patient had three hospitalizations in the preceding six months for failure to thrive and hypercalcemia responsive to intravenous [...]

Case Presentation: A 77 year-old female without significant history presented with six months of urinary incontinence, six weeks of progressive confusion and falls, and one day of decreased speech and poor appetite. During two recent hospitalizations for acute encephalopathy, imaging revealed a frontal lobe meningioma, acoustic neuroma, and diffuse ventricular enlargement.On admission, the patient was [...]

Case Presentation: A 34-year-old male presented with 3 months of sores on his oral mucous membranes, rash, and a 50 lb weight loss felt to be due to pain with eating. He was seen by various providers in the outpatient setting and took courses of Valacyclovir, Azithromycin, and steroids without improvement. On initial presentation, there [...]

Case Presentation: A 75-year-old female with a medical history of type II diabetes mellitus, asthma, and arthritis presented with approximately three months of recurrent pneumonia. On admission, she complained of progressive generalized weakness with associated shoulder pain, shortness of breath, cough with foul-smelling sputum, and new, bilateral wrist swelling. Vital signs were significant for tachypnea [...]

Case Presentation: A 50 year old obese female with a past medical history of rheumatoid arthritis, bilateral DVT and PE 4 years ago on apixaban, hypothyroidism, fibromyalgia, and chronic migraines presented to the emergency department with daily fevers, shortness of breath, and anxiety for one week. She reported persistent chest heaviness and productive cough of [...]

Case Presentation: A 50-year-old male with a history of smoking and current vape use presented with bilateral flank pain, chills, and dysuria. Two days earlier, he had been seen at an urgent care center, where urinalysis showed hematuria without infection, and a CT scan of the abdomen and pelvis was unremarkable. He was also diagnosed [...]

Case Presentation: We present a case of secondary Hemophagocytic Lymphohistiocytosis (HLH) triggered by Epstein-Barr Virus (EBV) in a 49 old male with no significant past medical history who worked as a cruise ship crewmember, presenting with high grade fevers and night sweats. Given his occupation, a broad differential diagnosis was initially considered, complicating timely diagnosis. [...]

Case Presentation: A 55-year-old woman with a history of hyperlipidemia and hypothyroidism presented with a one month of proximal muscle weakness in her arms and legs, and ten-pound unintentional weight loss. Eight months earlier, routine labs showed mild elevations in ALT and AST levels to ~90. Her atorvastatin was discontinued; however, her liver enzymes continued [...]