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Vinegar Causing Chemical Pneumonitis and Subsequent Broken Heart: A Rare Case of Accidental Vinegar Inhalation, Resulting in Takotsubo Cardiomyopathy

Case Presentation: A 77‐year‐old woman with a history of controlled hypertension was doing a daily sinus treatment at home when she accidentally used distilled vinegar instead of distilled water. She began the sinus rinse and [...]

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Dengue Fever: A History‐Taking Lesson

Case Presentation: A 56‐year‐old man presented to our emergency department with a 4‐day history of fevers, myalgias, nausea, vomiting, and diarrhea. He had recently returned from a trip to Mumbai, India for which he had [...]

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Antiphospholipid Antibody Syndrome with Severe Thrombocytopenia: A Conundrum in Anticoagulation

Case Presentation: A 30‐year old woman presented to the emergency department with chest discomfort and shortness of breath along with heavy menstrual bleeding for 3 days. She noted a history of 2 late first (?) [...]

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Lumbosacral Osteomyelitis Caused by Candida Krusei: A Case Report

Case Presentation: A 54‐year‐old African American woman with a history of hypertension and intravenous drug abuse presented to the emergency room with a 2‐month history of lower back pain and new onset right lower leg [...]

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Twilight Trilogy: A Series of 3 Blood‐Letting Gi Bleeds

Case Presentation: During the past 8 months, we have had 3 patients with factitious GI bleeds. This is one case. Mrs. K. was a 36‐year‐old woman with a history of gastric bypass with a complicated [...]

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A Rare Case of Disseminated Gonococcal Endocarditis

Case Presentation: A 23‐year‐old Asian female health care technician presented to the emergency department with left wrist pain, painful rash, fever, and occasional shortness of breath. She denied dysuria, vaginal discharge, sore throat, insect or [...]

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Drugs Smarter Than the Bugs: Mirtazapine and Mefloquine for Non‐Aids‐Related Progressive Multifocal Leukoencephalopathy

Case Presentation: A 77‐year‐old man with chronic lymphocytic leukemia (CLL) and hypogammaglobulinemia was hospitalized for generalized seizures. Three weeks prior to admission he was found to have progressive psychomotor slowing. Head CT revealed an area [...]

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Euglycemic Dka — Is It Rare or Frequently Missed?

Case Presentation: A 59‐year‐old Asian woman with a history of type 2 diabetes mellitus was brought to ED for confusion. She had multiple episodes of vomiting and diarrhea for 1 day. The Accu‐Chek on finger [...]

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Granulomas and Aspergillomas: An Uncommon but Dangerous Intermingling

Case Presentation: A 59‐year‐old man with no medical history was referred for admission from a rheumatology clinic where he presented with night sweats, nonproductive cough, exertional dyspnea, nausea, decreased appetite, and loose stools. He also [...]

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Tuberculosis Peritonitis: A Diagnostic Challenge

Case Presentation: A 35‐year‐old Haitian woman with a history of untreated latent tuberculosis (TB) presented with progressive abdominal distention, fatigue, and weight loss. She denied fevers, chills, night sweats, or cough. She denied sick contacts [...]

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Aortoenteric Fistula: A Rare Cause of Gastrointestinal Bleeding

Case Presentation: A 55‐year‐old African American man with a medical history of abdominal aortic aneurysm repair with aortobiiliac reconstruction was admitted with a chief complaint of dark‐colored stools and fever. On examination, abdominal bruits were [...]

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Fever in a Patient with a Rare Adult‐Onset Neuroblastoma

Case Presentation: A 30‐year‐old woman with a medical history of ovarian cancer in remission developed a stage 3 neuroblastoma. CT scan of the head showed a heterogeneously enhancing mass involving bilateral sphenoid sinuses that extended [...]

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The “Medical Home‐Less”: How Transitions‐of‐Care Issues May Be Magnified in the Uninsured Patient

Case Presentation: A 64‐year‐old man with alcoholism and end‐stage liver disease (ESLD) presented to the emergency department (ED) complaining of abdominal pain and swelling. In the previous 3 weeks, the patient had presented to 2 [...]

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Myxing Up the Differential, an Unusual Case of an Abdominal Mass

Case Presentation: A 25‐year‐old woman presented with 3 weeks of right upper quadrant abdominal pain. She described the pain as a “fullness” or “pulling” sensation. Over the past few days the pain had increased in [...]

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Complicated Euglycemic Diabetic Ketoacidosis in Pregnancy

Case Presentation: A 31‐year‐old woman with history of type 1 diabetes mellitus who was 35 weeks' pregnant came to the ER with chief complaints of nausea, vomiting, and severe retrosternal burning sensation for 3 days. [...]

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