Case Presentation: Hemophagocytic lymphohystiocytosis (HLH) is a rare cause of pancytopenia. Patients with sickle cell disease can present with pancytopenia and recognition of (HLH) in patients with sickle cell disease may be a lifesaving diagnosis.Case presentation:A 39-year-old female with past medical history of sickle cell anemia and moyamoya disease was admitted with sickle cell vaso-occlusive […]

Case Presentation: A 27-year-old gentleman with no significant past medical history presented to our hospital with five days of persistent fevers with night sweats, sore throat, headache, vomiting, and neck pain. Upon initial evaluation, his temperature was 38.4° Celsius, heart rate of 130 beats/min, blood pressure of 126/78 mm of Hg, respiratory rate of 18 […]

Case Presentation: A 74-year-old female with a history of restless leg syndrome, hypertension, GERD, presented with worsening fatigue, shortness of breath, and anasarca over the last 6 months. Labs revealed anemia (hemoglobin, 8.0 g/dL), thrombocytopenia (platelet count, 46K/μL), reticulocyte count 11.4%, undetectable serum haptoglobin, serum LDH >2700 U/L, ferritin 1223 ng/mL, negative direct Coomb’s test, […]

Case Presentation: A 61 year old male with a past medical history of hypertension, hyperlipidemia, and obstructive sleep apnea presented to the hospital with fever. He reported 1 week of fever to 103 F with associated rigors, abdominal pain, confusion, and decreased urine output. He reported a keen interest in outdoor activities such as hiking. […]

Case Presentation: A 26-year-old man with history of virally undetectable HIV, presented with 3 weeks of intermittent fevers and night sweats associated with chills, non-productive cough and generalized weakness, but denied weight loss. Vital signs revealed fever of 101.3F, tachycardia (pulse 118 bpm) and hypotension (blood pressure 95/61 mmHg). Physical exam revealed cervical and axillary […]

Case Presentation: A 36-year-old male with a history of B-cell acute lymphoblastic leukemia (ALL) treated with Hyper-CVAD with intrathecal chemotherapy and allogenic hematopoietic stem cell transplant (HSCT) from a haploidentical donor (CMV D-/R+). His ALL relapsed 8 months after transplant and he subsequently underwent pre-phase chemotherapy for future CAR T-cell therapy, developing pancytopenia. He was […]

Case Presentation: We present a case of a 42-year-old woman admitted to the ICU for management of suspected septic shock. She presented with right lower quadrant and back pain for the past day, fever, nausea, and vomiting. Her blood pressure was 70/46 mm of Hg and examination was significant for right lower abdominal quadrant tenderness. […]

Case Presentation: A 63-year-old male with hypertension and a history of thalassemia trait presented to the ED for evaluation of two weeks of progressive malaise and widespread tender lymphadenopathy. One week prior, the patient started a course of doxycycline for presumed tick-borne illness by his primary care provider, but worsening symptoms along with diarrhea, vomiting, […]

Case Presentation: A 42-year-old woman with no past medical history presented to the emergency department with four days of facial swelling and progressive, painless skin lesions on her back and extremities. Six months prior to presentation, the patient reported dark patches on her bilateral lower extremities while experiencing fever and chills. A skin biopsy was […]

Case Presentation: A 71-year-old male with a history of chronic lymphocytic leukemia (CLL) presented with shortness of breath and weakness. He had been diagnosed with CLL eight years ago and was placed on acalabrutinib 3 months previously. He was hospitalized twice in the prior 2 months for pneumonia.The patient was found to be tachycardic (102/min), […]