Case Presentation: We present the case of a 41 yr old man who was admitted for acute renal failure and initially presented with myalgias, anuria, and shortness of breath. Upon admission, the patient was initially febrile to 103.1 F and tachycardic to HR 126/minute. A Quinton catheter was placed for dialysis initiation. Infectious Disease was [...]

Case Presentation: A 25-year-old woman with autism, developmental delay, and seizure disorder presented with weakness, joint pain, and lethargy. Initial findings included pancytopenia, elevated inflammatory markers, and hyperferritinemia. She was diagnosed with hemophagocytic lymphohistiocytosis (HLH) secondary to adult-onset Still’s disease. Despite treatment with corticosteroids, anakinra, and tocilizumab, her condition worsened, necessitating ICU admission. Discussion: HLH [...]

Case Presentation: A 71-year-old male from Vietnam with HTN and TIIDM presented to an outside hospital with several weeks of fatigue, lower extremity bruising, and an unintentional weight loss of 20lbs. On admission to Stanford, he also endorsed right lower extremity numbness and weakness with right foot dorsiflexion. His exam was notable for scattered ecchymosis [...]

Case Presentation: A 65-year-old female with a history of iron deficiency and acute blood loss anemia, schizophrenia, asthma, and hypothyroidism presented with shortness of breath and weight loss for three months. On arrival, her temperature was 101.1 F, blood pressure 84/40, heart rate 129, and spO2 97% on room air. Laboratory studies showed a white [...]

Case Presentation: We present a case of secondary Hemophagocytic Lymphohistiocytosis (HLH) triggered by Epstein-Barr Virus (EBV) in a 49 old male with no significant past medical history who worked as a cruise ship crewmember, presenting with high grade fevers and night sweats. Given his occupation, a broad differential diagnosis was initially considered, complicating timely diagnosis. [...]

Case Presentation: 69-year-old male with past medical history of sarcoidosis was found to have a positive quantiferon gold on outside labs and thus presented to the hospital for TB rule-out. On presentation, patient reported generalized fatigue, weakness and mild shortness of breath for the past year and denied fevers, chills, night sweats, or weight loss. [...]