Case Presentation: A 20-year-old female with history of primary membranous nephropathy, hypertension, iron deficiency anemia, preeclampsia, and intrauterine fetal demise presented to the hospital with weakness, 2-3 days of upper respiratory symptoms, dyspnea, nausea, vomiting, and diarrhea. Labs showed normocytic anemia with hemoglobin of 3.3 g/dL worsening to 1.9 g/dL pending blood transfusion and leukocytosis […]

Case Presentation: A 30-year-old female with limited past medical history presented to the emergency department (ED) with 5 days of recurring fevers, nausea, and new rash. The rash was noticeable along her face and arms with pronounced swelling, tenderness, and erythema in her fingers. Initial work-up was significant for hyperferritinemia over 15,000, aspartate aminotransferase of […]

Case Presentation: 67 year old man with a history of psoriasiform dermatitis refractory to dapsone and hydroxychloroquine, thrombotic thrombocytopenic purpura status post plasma exchange and rituximab, and a history of multiple venous thromboemboli, and a fever of unknown origin presented with progressive worsening of his skin lesions. On exam, the patient was febrile (temperature 39.3C), […]

Case Presentation: We present the case of a 59 year-old male with a history of Castleman’s Disease, anemia, hypothyroidism, hypertension, CKD3 and neurogenic bladder who presented to the Emergency Department (ED) from the Hematology clinic for abnormal labs, thrombocytopenia and acute kidney injury. In the ED patient was febrile and hypotensive. He received empiric antimicrobials […]

Case Presentation: A 27-year-old female without any significant medical history, who developed acute kidney injury, metabolic acidosis, increasing liver enzymes, coagulopathy, anemia, thrombocytopenia and undifferentiated shock requiring pressors on 6th post-partum delivery. Peripheral smear showed atypical lymphocytes, dohle bodies and neutrophils with toxic vacuolization, suggesting an inflammatory processOther labs were significant for elevated ferritin levels […]