Case Presentation: A 25 year old woman with history of asthma presented to the emergency department with one week of sore throat, cough, shortness of breath, nausea, vomiting, and diarrhea. Upon arrival, she was hypotensive, tachycardic, tachypneic, febrile, and was found to have leukocytosis, elevated lactate, procalcitonin, and creatinine prompting concern for septic shock. She […]

Case Presentation: A healthy 22-year-old presented with four days of acute onset emesis, jaundice, and fever. Four days prior to presentation, the patient ate fried chicken and rice for lunch. Four hours later he had twelve episodes of non-bilious non-bloody vomiting, without associated diarrhea or abdominal pain. Over the next three days, he developed progressive […]

Case Presentation: A 22-year-old man with Asperger syndrome presented with five days of fever and acute confusion after an episode of pharyngitis. Vital signs were significant for T 39.3°C, HR 120/min, BP 93/57 mmHg, and RR 22/min with O2 sat 94% on 4L. Physical exam was remarkable for thick oral secretions, tenderness to palpation of […]

Case Presentation: A 19 year-old college student presented with fevers, chills, and a sore throat for the past 7 days. She had no significant past medical history and was healthy at baseline. She denied any illicit or intravenous drug use. Her vitals were notable for a temperature of 102.4F and heart rate 115 bpm. On […]