Case Presentation: A 19 year old female with a history of systemic lupus was found at home unresponsive by family and brought to a local ED. At the ED she was hyperthermic to 106F and hypotensive then transferred to Vidant Medical Center fevers and septic shock. Of note she had recently been discharged from Duke [...]

Case Presentation: The patient is a previously healthy 23 year old African American female who presented to the hospital with sudden onset lethargy, abdominal pain and profound anemia. Imaging identified hemoperitoneum secondary to hemorrhagic ovarian cyst rupture and given her severe presentation she required salpingoophorectomy. In addition to bicytopenia with a hemoglobin of 4.8 and [...]

Case Presentation: A 45-year-old Japanese woman with no significant medical history presented to a primary care physician with a four-week history of fever and coughing. She had also developed fatigue and peripheral edema and was therefore admitted to another hospital. On presentation, her body temperature was 37.5℃, pulse was 98 beats per minute, blood pressure [...]