Case Presentation: A 57-year-old male with a history of renal transplant currently on immunosuppressive medication presents to the hospital with fevers and general malaise. Laboratory findings were significant for hypercalcemia (15.6 mg/dL) with suppressed parathyroid hormone (PTH) levels. Infectious investigation including urinalysis, chest x-ray, commuted tomography (CT) of the chest, abdomen, and pelvis, blood cultures, […]

Case Presentation: A 60-year-old male with a history of diabetes, chronic kidney disease, and ventricular tachycardia treated with amiodarone for three total years prior to orthotopic heart transplant one year ago was admitted to the hospital for abdominal pain. He was diagnosed with cholecystitis and underwent uncomplicated laparoscopic cholecystectomy. The postoperative hospital course was complicated […]

Case Presentation: A 63-year-old male with a past medical history of end-stage renal disease status post living-related kidney transplant three years ago presented with dyspnea and joint pain. His immunosuppressive regimen included mycophenolate mofetil, prednisone, and belatacept, which was switched to everolimus due to concern for synovitis at outpatient rheumatology one month prior when he […]

Case Presentation: A 55-year-old woman with a remote history of renal transplant complicated by stage 4 chronic kidney disease (CKD) presented to the emergency room with a week history of progressive fatigue, fever, dry cough and exertional dyspnea. Outpatient medications were tacrolimus 2.5mg BID, mycophenolate mofetil 500mg BID, prednisone 5mg daily, and vitamin D 1000 […]

Case Presentation: We present a 69-year-old man with past medical history of well-controlled type 2 diabetes and multiple myeloma status-post chemotherapy (daratumumab, lenalidomide, bortezomib, melphalan) and subsequent bone marrow transplant (BMT) who presented with subacute progressive bilateral numbness and weakness in his upper and lower extremities and was found to have acute inflammatory demyelinating polyneuropathy.His […]

Case Presentation: A 59-year-old Caucasian male eight months post liver transplant on Tacrolimus and Prednisone and one month post COVID-19 infection presented to our hospital with progressive weakness. Ten days prior to presentation he noted paresthesias of bilateral upper and lower extremities. This progressed to distal 4/5 weakness in all extremities, dysphagia, dysarthria, severe lower […]