Pulmonary Sporotrichosis Masquerading As Non‐Hodgkin's Lymphoma

Case Presentation: A 61‐year‐old female nonsmoker was noted to have small nodular opacities in the right lung on a routine chest roentgenogram (CXR). Subsequently, a chest computerized tomography (CT) revealed multiple nodules with primarily upper [...]

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Blue Toe Syndrome in Setting of Deep Vein Thrombosis: Decisions …

Case Presentation: A 71‐year‐old woman with hypertension presented from an outside hospital for a second opinion. Five months prior to admission she discovered that she had factor V Leiden and developed a deep vein thrombosis [...]

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Dysgerminoma: The Nonsexy Germ Cell

Case Presentation: A 22‐year‐old woman presented to the emergency department with fever and a rash. Daily fevers had been occurring for 1 month, for which she took cephalexin and high doses of ibuprofen. She had [...]

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Emerging Dengue Fever in New York City

Case Presentation: A 35‐year‐old Hispanic woman from New York City presented with a 7‐day history of fever, headache, retro‐orbital pain, and myalgia. Her symptoms began during her visit to Puerto Rico, where she suffered from [...]

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A Grave Masquerader!

Case Presentation: A 55‐year‐old white man without a significant medical history presented to the emergency department (ED) with acute onset of lightheadedness, confusion, and speech difficulty for 2 hours’ duration. Although he was hypotensive, peripheral [...]

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Rare Case of Breast Cancer Metastasis to Colon

Case Presentation: A 59‐year‐old white woman with a history of breast cancer presented with a 3‐day history of sharp, crampy right lower abdominal pain, radiating to the left lower quadrant and associated with nonbloody diarrhea [...]

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A Fatal Case of Gastrointestinal Zygomycosis in an Immunosuppressed Host

Case Presentation: A 62‐year‐old man with a history of Wegener's granulomatosis presented to the emergency department with abdominal discomfort, low‐grade fever, and increasing confusion. The patient was on standard immunosuppressive therapy with cyclophosphamide, and a [...]

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Vancomycin: A Rare Cause of Thrombocytopenia

Case Presentation: Vancomycin, an antibiotic frequently used in the treatment of Methicillin‐resistant Staphylococcus Aureus, can cause many adverse reactions. Vancomycin has seldom been implicated as a cause of thrombocytopenia, and there is limited evidence that [...]

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Intravenous Iron Causing a Pustular Eruption

Case Presentation: A 58‐year‐old woman presented to the emergency room for evaluation of a progressive pruritic rash. She initially noticed the eruption 72 hours after receiving intravenous iron sucrose for the first time. Past medical [...]

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Antidotes to Antifreeze

Case Presentation: A 31‐year‐old man with bipolar disorder presented with nausea, vomiting, abdominal pain, and blurry vision several hours after consuming antifreeze and alcohol in a suicide attempt. He was afebrile with a heart rate [...]

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Candida Epididymo‐Orchitis in a Diabetic Patient: Characterizing a Rare Infection

Case Presentation: Genitourinary tract infections in adult men are typically bacterial in origin. However, fungal infections are a rare but serious cause of acute genitourinary pathology with notable morbidity. A 69‐year‐old African American man with [...]

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Langerhans Cell Histiocytosis, Diabetes Insipidus, and Pregnancy—a Bad Combination

Case Presentation: This is an 18‐year‐old woman diagnosed with pulmonary Langerhans cell histiocytosis (LCH) 3 months prior to becoming pregnant. She was treated at the time with etoposide and dexamethasone. She remained asymptomatic until 27 [...]

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Kikuchi–Fujimoto Disease: An Uncommon Presentation of Persistent Fever

Case Presentation: A 28‐year‐old woman, previously in good health, was admitted to the hospital after presenting with 4 weeks of myalgias, chills, night sweats, and persistent fevers. She had no upper respiratory symptoms, photophobia, or [...]

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Mantle Cell Lymphoma Presenting with Paraorbital Swelling and Ptosis

Case Presentation: A 69‐year‐old Hispanic man presented with several months of progressive bilateral paraorbital swelling and ptosis. The patient had presented 1 year ago to an outside physician complaining of sudden‐onset bilateral eyelid swelling. At [...]

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Oral: Improvement in Emergency Department Treatment Capacity: A Health System Integration Approach

Background: Prolonged emergency department boarding times have been associated with poor patient satisfaction, adverse clinical outcomes, longer hospital stays, increased ambulance diversion, reduction in the possibility of increased revenue from additional patient services, and increased [...]

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