Case Presentation: A 32-year-old South Asian woman with history of IgA nephropathy complicated by end stage renal disease status post renal transplant (CMV/EBV positive), latent tuberculosis infection, C. Diff colitis, and recurrent urinary tract infections presented with two days of fevers and diarrhea. One week prior to admission she was seen at a local ED […]

Case Presentation: A 32-year-old South Asian woman with history of IgA nephropathy complicated by end stage renal disease status post renal transplant (CMV/EBV positive), latent tuberculosis infection, C. Diff colitis, and recurrent urinary tract infections presented with two days of fevers and diarrhea. One week prior to admission she was seen at a local ED […]

Case Presentation: A 51year‐old male presented to medical ICU with hemoptysis, acute blood loss anemia and acute hypoxic respiratory distress. Bronchoscopy with transbronchial biopsy revealed diffuse alveolar hemorrhage (DAH) with bronchoalveolar lavage negative for infectious etiology. Serum ANCA was negative clinical and serological criteria for systemic lupus erythematous was not met. He was, however, positive […]

Case Presentation: A 60-year-old male presented with one week of new onset fevers and fatigue. Past medical history included primary sclerosing cholangitis, orthotopic liver transplant 12 years ago and Epstein-Barr virus (EBV) negative post transplant lymphoproliferative disease (PTLD) with partial response to single-agent Rituximab treatment one-year prior.The patient reported debilitating fatigue, daily low-grade fevers, night […]

Case Presentation: A 63-year-old man with significant history of deceased donor transplant (18 months prior to presentation), hypertension, diabetes mellitus, who presented with two weeks of fevers and malaise. His other symptoms included drenching night sweats, shortness of breath, and diffuse pleuritic chest pain, however he denied cough. A recent exposure was a renovation of […]

Case Presentation: A 39-year-old African-American male with a history of chronic kidney disease (baseline creatinine 3), congestive heart failure, hypertension, diabetes initially presented to the hospital with chest pain and found to have hypertensive emergency with BP 202/138 and pulse 112. New echocardiogram showed severe mitral regurgitation with reduced ejection fraction of 45%. He received […]

Case Presentation: A 52-year-old African American woman presented to her local hospital with a 3-week history of headache and diplopia without an inciting event. At that time, she was treated symptomatically and discharged. After persistent symptoms and new onset imbalance, neck stiffness, vomiting, and blurry vision, she reported to a second hospital. Her past medical […]