Case Presentation: A 59-year old man presented with high grade fever (102 F), non-productive cough, and malaise for two months duration. His medical history was significant for of relapsing Chronic lymphocytic leukemia; on chemotherapy, Chronic kidney disease, and invasive pulmonary aspergillosis diagnosed a year ago and treated with a 12-week course of voriconazole. Initial laboratory [...]

Case Presentation: A 55-year-old man with type 2 diabetes mellitus, metastatic renal cell carcinoma to brain and bone despite left nephrectomy and multiple cycles of chemotherapy and recent immunotherapy with nivolumab presented 3 weeks post whole brain radiation treatment (WBRT) with 4 days of right arm pain and swelling. He visited upstate New York prior [...]

Case Presentation: A 44 year old African American man presented to the hospital for evaluation and treatment following generalized tonic-clonic seizures. He denied recent and remote travel, fever, chills, sick contacts, constitutional symptoms, and felt relatively well at time of interview. He was on maintenance immunosuppression with prednisone 20 mg daily for sarcoidosis. MRI demonstrated [...]

Case Presentation: A 69-year-old patient was referred to us by his PCP for subacute onset of confusion. Two months prior to presentation he was diagnosed with Focal segmental glomerulonephritis and had been on immunosuppressive therapy with Mycophenolate mofetil and Prednisone. He subsequently developed productive cough, and shortness of breath and was found to have a [...]

Case Presentation: A 37 year old woman with past medical history of septic shock secondary to urinary tract infection (UTI), systemic lupus erythematosus treated with oral prednisone 10 mg/day, functional quadriplegia due to transverse myelitis, chronic sacral decubitus ulcers, chronic indwelling urinary catheter, morbid obesity, hypertension, and diabetes mellitus type 2 presented to the emergency [...]