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: A 77 year-old female with a history of hypertension, osteoporosis, and hyperparathyroidism status post two parathyroidectomies presents four days after her second parathyroidectomy complaining of generalized fatigue, weakness, and headache. In the emergency department (ED), she began experiencing nausea and multiple bouts of vomiting. She endorsed loss of appetite but denied any fever, […]

Case Presentation: A 43 year old female with no significant past medical history presented to the emergency department after developing subjective fevers, myalgias, arthralgias, and malaise one week after a hiking trip in northern Minnesota. She had a fever of 39.2℃ and splenomegaly with no rash. Pertinent labs showed a hemoglobin of 12.1 g/dL (11.6-15.0 […]

Case Presentation: A 71-year-old female with history of hypertension presented with 4 days of worsening headaches, confusion, photophobia, fevers, and fatigue. Initial vital signs were temperature 38.4C, HR 123/min, BP 164/97mm Hg, RR 16/min and SpO2 99% on room air. Physical exam revealed lethargy, irritability and nuchal rigidity. Workup demonstrated WBC 11400/μL, Hgb 10.8 g/dl, […]

Case Presentation: A 49-year-old woman with spondyloarthropathy was admitted with hypercalcemia and acute kidney injury (AKI). Two months prior, she had stopped adalimumab due to progressive dyspnea, palpitations, and fatigue that she attributed to the medication. Despite stopping the drug and undergoing a thorough cardiopulmonary evaluation, her symptoms worsened and she presented to the hospital. […]

Case Presentation: A 63-year-old female with past medical history significant for myasthenia gravis managed with azathioprine (AZA) presented with recurrent fevers, shortness of breath, malaise and night sweats for one week after attending a funeral in Pennsylvania. She denied any sick contacts, hiking, animal exposure, tick bites, or rashes. She was seen outpatient and her […]