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 29 year-old woman with sickle cell disease (SCD) on hydroxyurea and L-glutamine, and mild intermittent asthma presented to our institution with right lower extremity and back pain suggestive of a vaso-occlusive crisis. She did not report fever, cough or dyspnea. Vital signs revealed a heart rate of 91/min, blood pressure of 126/86 […]

Case Presentation: 70 year old man with a history of hepatitis C, diabetes mellitus type 2, hypertension, and coronary artery disease presents with worsening pneumonia.  The patient had recently traveled to Italy for 2 weeks with his wife and on return to the United States developed subjective fevers, dizziness and knee pain for one week.  […]

Case Presentation: A 56 year-old man with heart failure with preserved ejection fraction, aphasia and right-sided weakness from prior strokes presented with two days of difficulty with speech and ambulation. His vital signs were normal except for an oxygen (O2) saturation of 94% on 6 liters. On exam he was somnolent but able to follow […]