Infectious Disease , Ophthalmology , Neurology

Neurosyphilis: More Than Meets the Eye

12/2/2024 Prateek Khurana, DO , Anna Poteraj, MD , Zhanna Roit, MD , Sophia Gorgens, MD , Mary Flanagan-Kundle, DPA, PA-C

With the rising prevalence of neurosyphilis over the years, emergency medicine physicians should be cognizant of this can't-miss diagnosis in patients with focal neurologic findings, new-onset dementi

Infectious Disease , Ophthalmology , Dermatology

Vision Loss Leading to HIV Diagnosis

12/2/2024 Bryan Knickerbocker Carnes, MD , Thomas Payton, MD, FACEP , Jason Burkett, DO, FACEP

A patient presenting with ophthalmic syphilis may have more health conditions at play. Would you include HIV on your differential diagnosis?

Cardiology , Infectious Disease , Wilderness Medicine , Toxicology

Case Report: Heart Block Stemming from Lyme Disease

10/31/2024 Puja Singh, MD , Marian Gambrell, MD

We present a case of bradycardia and dyspnea in an otherwise healthy young male found to have EKG abnormalities inclusive of third-degree heart block. The culprit? Lyme disease.

Infectious Disease , Cardiology , Wilderness Medicine , Hematology

Babesiosis Induced Atrial Flutter: An Unusual Precipitant of Atrial Flutter

10/31/2024 Darshak Vekaria, MD

Babesiosis can present with a varied clinical presentation, which can make it difficult to diagnose. However, one uncommon clue could be picked up on an ECG.

COVID-19 , Ophthalmology , Vascular , Dermatology

Onset of Behcet’s Disease Following COVID-19 Infection: The Role of Emergency Physicians in the Diagnosis of Rare Diseases

10/31/2024 Brett Keith Fulleylove-Krause, MD , Brittni Cera Peach, DO

COVID-19 infections can trigger a cascade of comorbidities, including Behcet’s Disease. This rare condition causes chronic and remitting vasculitis, painful ulcers, and rash.

Infectious Disease , Urology

Not Just Rectal Bleeding: A Case of Fournier’s Gangrene

7/10/2024 Elaine Hsiang, MD , Claire Perrin , Maria Raven, MD, MPH, MS, FACEP

Fournier’s gangrene is a surgical emergency. Time to surgical intervention is the most significant modifiable risk factor for mortality in these necrotizing infections, and early intervention can halv

Immunology , Infectious Disease

Tick Talk: The Link Between Ticks and Red Meat Allergies

6/24/2024 Mounir Contreras Cejin, MD , Paris Price, MD

Alpha-gal syndrome may affect around 450,000 individuals in the United States. The incidence is expected to rise, likely due to climate changes favoring the expansion of tick populations. A recent stu

Infectious Disease

Case Report: Malaria, Dengue, and COVID-19 in a Migrant Entering the United States

3/25/2024 Russell Baker, DO , Brian Elmore, MD , Cynthia Rincon, DO, PGY-3

Migrants are vulnerable to various tropical diseases as they traverse regions enroute to the United States. These diseases include malaria, mosquito-borne arboviruses, and helminth diseases. The congr

Infectious Disease , Neurology

Neurosyphilis: Keep it in Mind When Symptoms Align

1/15/2024 Cassie Ward, DO , Shannon Lovett, MD, FACEP

New cases of syphilis are on the rise, so have a high index of suspicion in patients with any risk factor or symptoms. Consider neurosyphilis in patients with prior history of syphilis and any headach

Critical Care Alert , Critical Care , Infectious Disease , Pulmonary

Critical Care Alert: CAPE-COD Trial

3/29/2023 Christian Kasianko, MD , Evan McMurray, MD

The CAPE-COD Trial indicates it might be worth your time to consider hydrocortisone in managing community-acquired pneumonia in admitted patients boarding in the emergency department.

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