Case Presentation: A 75 year old male was transferred into the ICU, already intubated, requiring antibiotics and pressors. He was hypotensive, tachypnic with respiratory distress, had severe oliguric AKI with serum creatinine of 6.0, and anemia with hemoglobin below 7.0. His initial CXR and CT showed scattered bilateral pulmonary opacities. After he did not improve […]

Case Presentation: A 29 year-old male (AP) with history of ALL presented with neutropenic fevers after receiving intrathecal methotrexate one day prior. AP was in consolidation phase of treatment with most recent bone marrow biopsy showing hypocellular marrow without evidence of leukemia. On admission, he was febrile to 102.9 degrees Fahrenheit with pancytopenia and ANC […]

Case Presentation: 51yoM with no significant medical history presents to ED for evaluation of progressive bilaterally injected, painful conjunctiva of 1 months duration, nonproductive cough and pleuritic chest pain of 1 week’s duration. He was recently treated with moxifloxacin for conjunctivitis without improvement in symptoms. After treatment, he developed nonproductive cough associated with pleurisy and […]

Case Presentation: A 3-year-old female presented with 1-day of fatigue, pallor, dyspnea and dry cough. Vital signs showed HR 152, RR 28, temp 98.8 F, BP 101/67, and oxygen saturation of 75% on room air. On exam, she was well appearing, with clear lungs and no respiratory distress despite the desaturations. Initial testing showed a […]

Case Presentation: A 21-year-old female with a history of remitting-relapsing MS, and primary adrenal insufficiency presented with fever of three days duration, followed by acute chest pain, and shortness of breath. The patient had been started on her second cycle of alemtuzumab infusion two days prior to presentation. Initial blood work was remarkable for leukocytosis. […]

Case Presentation: To our knowledge, no prior case of simultaneous hydralazine induced lupus (HIL) with diffuse alveolar hemorrhage (DAH), and antiphospholipid antibody syndrome (APLA) is reported. We report this case due to extreme complexity as prompt diagnosis and appropriate management are crucial to survival.A 68- year- old female with a history of cirrhosis and hypertension […]