Background: ED visits increased to 145.59 million in 2016 (CDC 2019), resulting in an increase in hospital admissions. Chen et al. showed a correlation between the overall ED census and likelihood of admission; while, Velasquez et al. found up to 28% of hospitalists reported having admitted patients when no admission criteria were met. They described [...]

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. [...]