Case Presentation: A 37 year-old Jamaican male with no toxic habits presented after multiple admissions for recurrent fevers, jaundice, abdominal pain, and presumed cholangitis over the past 2 months. Abdominal US and MRCP showed hepatitis with dilation of intrahepatic ducts and cholangitis without obstruction. EUS was normal. Previous labs were remarkable for an LDH of […]

Case Presentation: A 30 year-old female with a history of B-cell acute lymphoblastic leukemia with central nervous system involvement presented with fever, chills, and tachycardia six days after completion of scheduled intrathecal and systemic chemotherapy. Three weeks prior, an intraventricular catheter for administration of intrathecal chemotherapy had been placed without complications. Following the most recent […]

Case Presentation: A 30‐year‐old Guatemala‐born man presented with severe, nonradiating epigastric and right upper quadrant abdominal pain, intermittent for the past 2 years, requiring several prior hospitalizations. Pain was accompanied by moderate nausea, vomiting, and his “skin turning yellow.” He also reported several episodes of his 4‐year‐old son turning yellow when sick. Physical examination revealed […]

Case Presentation: A 50-year-old female was admitted with shortness of breath, cough and fevers. Her past medical history was significant for breast cancer undergoing active neoadjuvant chemotherapy with doxorubicin and cyclophosphamide. She was hypoxic requiring 2L of oxygen via nasal cannula and febrile to 39.0°C. Labs revealed a WBC of 12.0 x 109/L (4.5-11.0 x […]

Case Presentation: A 49 year-old man with history of renal transplant due to focal segmental glomerulosclerosis on mycophenolate and prednisone presented with chest tightness, shortness of breath, and productive cough with white sputum for several weeks. He was admitted one month prior with similar complaints and diagnosed with multi-lobar pneumonia. On admission, vital signs were […]

Case Presentation: A 3-year-old previously healthy male was admitted with a five-day history of fevers up to 104 F, decreased oral intake, and decreased activity. He had been seen by his pediatrician on day three of illness, at which time he was noted to have leukocytosis with a white blood cell count of 30,200/µL and […]