Case Presentation: A 51-year-old female with a history of lumbar stenosis (status post-transforaminal epidural steroid injection), hypertension, and migraines presented with altered mental status and severe acute headache. The day before, she experienced unusual lower back pain and, after consuming shrimp scampi, developed abdominal pain, nausea, flaccidity in her upper extremities, dysarthria, and a severe [...]

Case Presentation: Many patients are being treated with biologic therapies for autoimmune diseases in the outpatient setting. It is critical for the hospitalist to recognize these patients as immunosuppressed and generate a broad differential when they are admitted to the hospital. The patient in this case was a 35-year-old male with a past medical history [...]

Case Presentation: A 45-year-old female presented with fever, chills, bilateral flank pain radiating anteriorly and intermittent right upper quadrant pain prior to arrival. Medical history included hypertension, stage 3a chronic kidney disease, obesity, uterine fibroids, and treated Helicobacter pylori infection. Her vitals were as follows: 98.6 °F, heart rate 126 beats/minute, respiratory rate 20 breaths/minute, [...]

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 [...]