Case Presentation: A 76-year-old man with mantle cell lymphoma status post chemotherapy 1 week prior presented to an outside emergency department with generalized weakness. Initial laboratory workup revealed hemoglobin of 8.8 g/dL, platelet count of 3 × 109/L, creatinine 5.55 mg/dL and bicarbonate 7 mmol/L (Table 1). Rectal exam showed brown stool, however fecal occult [...]

Case Presentation: A Caucasian male in his early 60s with metastatic pancreatic cancer presented to the urgent care with complaints of neck pain. He recently underwent kyphoplasty at the level of T3-T4 two weeks prior. He noticed a growing lump in his neck that grew over the last two days and associated with excruciating pain. [...]

Case Presentation: Over 45,000 human plant exposures are reported in the United States annually. Ingestions occur frequently but serious toxicity is rare. Common ingestions include peace lily, poinsettia and holly, among others (Table 1). Less commonly, lily of the valley (Convallaria majalis) and crocus (Crocus sativus) are culprits (Figure 1).Crocus, the source of saffron, is [...]

Case Presentation: An 81-year-old Caucasian gentleman, with history remarkable for coronary artery disease with coronary artery bypass graft, heart failure with reduced ejection fraction, atrial fibrillation, acute kidney injury on chronic kidney disease, type 2 diabetes mellitus, hypertension, chronic obstructive pulmonary disease and bronchiectasis, was admitted for initial symptoms of worsening shortness of breath. The [...]

Case Presentation: A 56-year-old male with a past medical history of large B cell lymphoma on ibrutinib with recently diagnosed COVID pneumonia, and recurrent ascites due to portal hypertension, presented to the hospital due to shortness of breath, and fever for one week. Physical examination was unremarkable on admission except for fever. His initial labs [...]

Case Presentation: We present a case of a 46-year-old Filipina female with SLE and ITP who presented with new hypoxemia and a 6-month history of dry cough, dyspnea, and a 20lb weight loss. The patient had emigrated to the United States in 2002 and worked as an OR nurse. She had received the BCG vaccine [...]

Case Presentation: An 82-year-old woman with hypertension, diabetes, and a renal transplant recipient for diabetic nephropathy was admitted with three days of chills, cough, dyspnea, and increased urinary frequency. Her urinalysis was positive for pyuria and hematuria, and she was diagnosed with cystitis. Chest radiograph on admission was read as clear by radiology. She was [...]

Case Presentation: We present a multicenter 3 case series of a rare, but important sepsis mimic.Case 1 72-year-old female presented with generalized abdominal pain. Labs showed acute renal failure, lactic acidosis, thrombocytopenia and markedly elevated LFTs. She was treated for presumed sepsis with broad spectrum antibiotics. She developed a coagulopathy, DIC, and Pancytopenia requiring blood [...]

Case Presentation: A 23 year-old previously healthy woman presented with a 2-day history of melena, hematemesis, vaginal bleeding, and bleeding gums. She also reported cough, fevers and anosmia. She denied any new medication exposures and had no prior history of bleeding disorders or hematologic disease. Temperature was 37.2° C, heart rate 122, respiratory rate 18, [...]

Case Presentation: A 50 year-old female with a past medical history of migraines on triptan therapy presented to an outside ED with a 1 day history of chest pain and was transported emergently to a tertiary hospital for suspected STEMI. She had a troponin of < 0.012 with inferior ST elevations on ECG. STEMI was [...]