Case Presentation: A 60-year-old farmer with a past medical history significant for antiphospholipid syndrome, atrial fibrillation (AF), and longstanding rheumatoid arthritis on infliximab therapy presented to the ED with weakness and dyspnea. History from family and recent rheumatology visit revealed a history of non-compliance and self-injection with livestock glucocorticoids due to self-diagnosed rheumatoid vasculitis and […]

Case Presentation: A 46-year-old Hispanic male with a history of acute myelocytic leukemia (AML) presents with subjective fever of three-day duration after one week of induction chemotherapy with fludarabine, cytarabine, filgrastim (FLAG), and venetoclax. Otherwise, the patient denies cough, shortness-of-breath, diarrhea, abdominal pain, or dysuria. Vitals signs showed a temperature of 37.6C, pulse of 87, […]

Case Presentation: 71-year-old man with a history of atrial fibrillation, presented with four-months of fatigue, 50lb weight loss, night sweats and petechiae spreading from legs to abdomen and arms. On admission, vital signs were unremarkable. On physical exam, he had non-blanching, non-palpable petechiae extending from his lower extremities (LEs) to torso and upper extremities and […]