Case Presentation: A 29-year-old Caucasian woman presented to the emergency department with fever, sore throat, epigastric and right upper quadrant abdominal pain of 5 days duration. Physical examination was positive for fever (40oC), tachycardia (heart rate 114 beats per minute), and a palpable liver and spleen on abdominal examination. Notable laboratory investigations included pancytopenia – [...]

Case Presentation: A 33 year-old Caucasian female with history of 1 spontaneous abortion presented with periorbital edema, dark urine, arthralgias and fevers (Tmax 102) for 2 weeks. The patient reported many environmental exposures as a native of Brisbane, Australia such as outbreaks of Ross River Fever, encounters with flying foxes (reservoirs for Lyssa, Hendra viruses), [...]

Case Presentation: An 18 years old female with no significant medical history was initially admitted to an outside hospital for urinary tract infection with sepsis. She subsequently developed abdominal pain and elevated liver enzymes prompting transfer to our institution. Physical examination consistent with right upper quadrant pain but remainder was unremarkable. Laboratory testing revealed a [...]