Case Presentation: A 25-year-old woman with autism, developmental delay, and seizure disorder presented with weakness, joint pain, and lethargy. Initial findings included pancytopenia, elevated inflammatory markers, and hyperferritinemia. She was diagnosed with hemophagocytic lymphohistiocytosis (HLH) secondary to adult-onset Still’s disease. Despite treatment with corticosteroids, anakinra, and tocilizumab, her condition worsened, necessitating ICU admission. Discussion: HLH [...]

Case Presentation: 65-year-old female with past medical history of chronic myeloid leukemia (CML) and peripheral arterial disease (PAD) requiring drug eluting stent placement presented with symptoms of bradycardia and episodes of dizziness ongoing for 3 days. Of note, the patient was recently admitted in the hospital for pre-syncopal episode where cardiac workup was negative. Patient [...]

Case Presentation: A 26-year-old male with HbSS sickle cell disease and a history of recurrent hospitalizations for vaso-occlusive crises, requiring a right chest port for pain management and IV fluids, presented with sepsis and an acute vaso-occlusive crisis. Initial infectious workup, including chest X-ray, CT of the chest, abdomen, and pelvis, and urinalysis, was unremarkable. [...]

Case Presentation: A 36-year-old woman with a past medical history of postural tachycardia syndrome (PoTS), seizure disorder, left ICA aneurysm status post embolization, presented due to short 30-second episodes of syncope with concurrent hypotension and bradycardia for the past few years. The patient had multiple episodes of bradycardia and hypotension requiring pressors. The physical exam [...]

Case Presentation: 26-year-old man diagnosed with T-cell acute lymphoblastic leukemia (T-ALL) with CNS involvement in July 2022 completed one cycle of hyperCVAD B and subsequently received maintenance therapy with POMP (prednisone, vincristine, methotrexate, and mercaptopurine) starting in 2023, along with intrathecal chemotherapy. The patient achieved complete remission, with serial MRIs, PET scans, and bone marrow [...]

Case Presentation: A 34-year-old male presented with past medical history only significant for occupational exposure to non-ionizing radiation and recent dog bite approximately a week ago. He came in with a chief complaint of intermittent episodic non-exertional chest pain, dizziness, vertigo, and darkened urine. He states this has been ongoing and most recently also developed [...]

Case Presentation: A 55-year-old male from Brooklyn, NY with insulin-dependent diabetes and dental abscess (s/p I&D 9 days prior) presented to an outside hospital with 3 days of fevers, headaches, persistent mouth pain, and altered mental status. He was transferred to our hospital on day 3 for Oral and Maxillofacial Surgery (OMFS) consultation. The patient’s [...]

Case Presentation: A 39-year-old male presented with persistent abdominal pain and was found to have a large, left-sided renal mass measuring 15 x 11 x 23 cm. Initial biopsy results were inconclusive, demonstrating nonspecific necrosis and inflammation. Two weeks later the patient developed worsening abdominal distention and acute kidney injury. He was found to have [...]

Case Presentation: A 58-year-old female presented to the emergency department with severe acute abdominal and bilateral flank pain. Medical comorbidities included hypertension and obesity.On arrival, she was hemodynamically stable and labs were notable for an elevated D-dimer. Due to concern for pulmonary embolism (PE), a heparin infusion was started. Soon afterwards, she developed acute hypotension. [...]

Case Presentation: A 37-year-old female with systemic lupus erythematosus (SLE), noncompliant with mycophenolate mofetil (MMF) and hydroxychloroquine, complicated by Class V membranous lupus nephritis and cirrhosis due to autoimmune hepatitis, presented with generalized weakness and altered mentation. This followed a recent admission for methicillin-sensitive Staphylococcus aureus (MSSA) bacteremia and acute kidney failure requiring hemodialysis (HD), [...]