Case Presentation: A healthy 3-year-old boy presented with 5 days of a scaly and crusting rash on the left side of his face that began as a few bumps on his left forehead (Image 1). He had no history of chickenpox, is up to date on immunizations including varicella, and has no family history of […]

Case Presentation: A 14-year-old boy with autism presented with a five-day history of high fever (40.5 degrees C), vomiting, shortness of breath, and a rash involving the palms-and-soles. He was evaluated at urgent care and was believed to have hand-foot-mouth disease. He was brought to the emergency department for ongoing symptoms, where he was noted […]

Case Presentation: A 3-year-old girl presented with two years of monthly recurrent left periorbital swelling. The swelling was often accompanied by subjective fevers and pain. Prior episodes were treated with courses of antibiotics with some associated improvement but incomplete resolution. The child was otherwise healthy with normal growth and development.She had mildly tender non-erythematous swelling […]

Case Presentation: A ten month old male born at term with a past medical history of pneumonia diagnosed at six months of age presented with fever, cough and respiratory distress. His exam was notable for decreased breath sounds and crackles over the entire left lung. A chest x-ray was obtained and demonstrated near complete opacification […]

Case Presentation: A previously healthy 15-year-old M presented for 2-week history of fevers and painless right-sided limp noticed by parents. He was evaluated at an outside hospital three times in the week prior to presentation at Tufts, and ultimately diagnosed with tendonitis. Although he denied hip pain, he endorsed right-sided anterior thigh pain. Denied trauma, […]

Case Presentation: A 3-month-old male of Asian descent with a past medical history of congenital CMV and right-sided sensorineural hearing loss presented to the ED with two days of GI bleeding tendencies, easy bruising, and diffuse rash. The patient was otherwise healthy with normal appetite and vital signs. He had no falls, traumas, or sick […]

Case Presentation: A 15-year-old male with a history of depression and schizoaffective disorder began having general malaise and nausea four days prior to hospital presentation. His symptoms progressed to include difficulty walking, vomiting, and the development of tremors. He was found to have a lithium level of 3.3 as an outpatient and was admitted to […]

Case Presentation: A 3-year-old female who recently returned from a bear-hunting trip in Idaho presented with a 4-day history of progressive ascending paralysis and hyporeflexia. Her symptoms initially started 4 days prior to presentation with difficulty walking and progressed to difficulty urinating and eventual upper extremity weakness. The family did not seek medical care until […]

Case Presentation: A 12-year-old male with a history of hyperhidrosis presented to the emergency department with bilateral foot swelling, pain and fevers. The pain began two days prior to admission after spending several hours in wet shoes. The following day he developed fevers and his swelling and pain worsened such that he was no longer […]

Case Presentation: A previously healthy 7-month-old male infant was admitted after having a new onset 10-minute seizure. He was exclusively breastfed until 2 weeks prior to admission. His mother reported decreased oral intake since switching to formula and introducing solid foods. The infant had not been taking any vitamins.Physical exam: The patient was afebrile, alert, […]