Case Presentation: A 40 year-old male went camping in southeast Missouri in May and suffered tick bites. He developed a fever, rash and myalgias. He was treated with doxycycline, which was discontinued due to anaphylaxis. [...]
Case Presentation: A 58 year old previously healthy Nigerian female presented with a 6-week history of high-grade fevers, weakness, malaise, and a 10-pound weight loss. On physical exam she was found to have tachycardia, hypotension, [...]
Case Presentation: A 69-year-old female with a medical history of morbid obesity presented to a rural hospital with a one-week history of extreme fatigue, malaise, jaundice, and anorexia. Her initial vital signs were unremarkable. Physical [...]
Case Presentation: A 60-year-old previously healthy female presented with a two-week history of intermittent fever with non-pruritic rash, generalized myalgias and arthralgia, weakness, and chest pain. Her exam revealed temperature of 39.3 degrees Celsius, anterior [...]
Case Presentation: A 29-year-old Caucasian woman presented to the emergency department with fever, sore throat, epigastric and right upper quadrant abdominal pain of 5 days duration. Physical examination was positive for fever (40oC), tachycardia (heart [...]
Case Presentation: A 44 year-old man who resides in Alexandria, LA presented via air ambulance from Honduras with three weeks of fever, night sweats, and right upper quadrant abdominal pain. He had associated nausea, vomiting, [...]
Case Presentation: A 33 year-old Hispanic male without significant history presented with an unremitting fever for 5 days, associated with myalgais, fatigue, night sweats, and a rash. Upon admission, he was tachycardic, [...]