Case Presentation: 54-year-old male patient diabetes mellitus type II presented with pain and swelling involving small joints of bilateral hands with wrists. Synovitis involving bilateral interphalangeal, metacarpo-phalangeal were noted.Labs revealed leukocytosis to 15.7K/microL. Hemoglobin was 7.7 g/dL. Anemia work up revealed low serum iron level of 23 µg/dL, low TIBC at 167ug/dL with saturation of […]

Case Presentation:      A 6 yr old female presented with 14 days of fever to 105. She had 11 days of right flank pain and was sleeping more. Outpatient work-up revealed negative urine cx, Monospot, tick panel, CXR, chest CT and re-assuring CBC and BMP. She received 2 days of SMZ-TMP while the urine […]