Case Presentation: A 32 year-old African American man with a history of Kikuchi-Fujimoto’s Disease (KFD), presented with 2 weeks of fever, cervical lymphadenopathy and cough. Laboratory tests showed pancytopenia, elevated ESR, positive double stranded DNA and ANA titer. Complement 3 and 4 levels were low. His fever persisted despite broad spectrum antibiotics. Computed tomography (CT) [...]

Case Presentation: This is a 49 year old female, with no significant medical history, who started having intermittent fevers, night sweats, and fatigue 11 months prior. She reported a temperature of 100.4°F with cough and rhinorrhea, diagnosed as bronchitis with an elevated CRP of 40 mg/L. She reported some improvement with azithromycin but continued to [...]

Case Presentation: Fibrillary glomerulonephritis and immunotactoid glomerulopathy are rare renal disorders, being present in 0.5 to 1.4 percent of kidney biopsies. Although they are distinct glomerulopathies, they are both nonamyloid fibrillary glomerular diseases and as such, they are Congo red negative on immunohistochemistry. Discussion: Patient is a 75 years old male with PMH of HTN, [...]

Case Presentation: A 25-year-old female with no significant past medical history presented to the emergency room with chest pain and shortness of breath. She was febrile to 40 degrees Celsius and tachypneic. Physical exam was notable for bilateral crackles in her lower bases. Her social history indicated former marijuana use and current e-cigarette use (Juule, [...]

Case Presentation: A 53-year-old gentleman with metastatic adrenocortical carcinoma with liver and lung metastases, was recently started on pazopanib, a non-specific tyrosine kinase inhibitor. He was brought to the hospital by family for increasing confusion and decreased oral intake. He was hemodynamically stable and afebrile on presentation. Initial labs were significant for low platelet count [...]

Case Presentation: A 68-year-old female with non-Hodgkin’s lymphoma treated with R-ICE (rituximab, ifosfamide, carboplatin, etoposide) and recent autologous stem cell transplantation, who presented with poor oral intake due to mucositis and diarrhea. Initial labs revealed sodium (Na) 146 mmol/L, potassium (K) 2.4 mmol/L, phosphorus (Pi) 2.3, and creatinine (Cr) 1.40 mg/dL comparing to baseline 1.2 [...]

Case Presentation: 47-year-old male with past medical history of fibromyalgia, hypertension, and mild asthma presented with shortness of breath during a double red cell donation (DRCD). DRCD is a procedure where two packs of whole blood are taken from a donor, and plasma is separated from them, this plasma is then transfused back to the [...]

Case Presentation: A 48-year-old morbidly obese man who underwent laparoscopic adjustable gastric banding (LAGB) in 2011 presented with productive cough, dyspnea, and pleuritic chest pain for 3 weeks. He also reported intermittent postprandial gastric reflux and regurgitation of food since his LAGB, which he had been managing with lifestyle modifications. In the emergency room, he [...]

Case Presentation: A 57-year-old man presented with three weeks of palpable petechial rash, abdominal pain, polyarthralgia and edema. The rash started as “red dots” on his abdomen and spread throughout his body. On exam, he exhibited diffuse palpable purpura with blistering to his bilateral feet. Initial work up was notable for creatinine (Cr) 3.30 from [...]

Case Presentation: A 31-year-old female with a history of intravenous drug use presented to the hospital with bilateral lower extremity pain for 3 days. She also noted mild chest discomfort and shortness of breath. On exam, she had mottled bilateral lower extremities with decreased coloration to her toes. She underwent a computerized tomography angiogram of [...]