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 [...]