Case Presentation: A 48-year-old African American male with history of AIDS on antiretroviral therapy and Pneumocystis jirovecii pneumonia (PJP) was admitted for a two-week history of shortness of breath and 20 pound unintentional weight loss. He also noted a three-month history of worsening left leg rash, despite using topical steroids prescribed by a dermatologist for [...]

Case Presentation: Mr. J is a 47 year old male with a history of Acquired Immune Deficiency Syndrome (CD4 count of 183), chronic kidney disease stage 3 (baseline creatinine of 1.5 mg/dL) and Castleman Disease (CD, previously treated with rituximab) who presented initially with complaints of fevers, dyspnea, generalized weakness, and swelling to the lower [...]

Case Presentation: A 19 year old female with a history of systemic lupus was found at home unresponsive by family and brought to a local ED. At the ED she was hyperthermic to 106F and hypotensive then transferred to Vidant Medical Center fevers and septic shock. Of note she had recently been discharged from Duke [...]

Case Presentation: Case 1: A 25-year-old female was transferred to our hospital with fever and systemic inflammation refractory to prednisolone treatment. Two weeks prior to the transfer, she was admitted to another hospital on account of fever, thrombocytopenia, elevated alkaline phosphatase level and hepatonephromegaly on CT scan. No peripheral edema, pleural effusion, ascites or lymphadenopathy [...]

Case Presentation: The patient is a previously healthy 23 year old African American female who presented to the hospital with sudden onset lethargy, abdominal pain and profound anemia. Imaging identified hemoperitoneum secondary to hemorrhagic ovarian cyst rupture and given her severe presentation she required salpingoophorectomy. In addition to bicytopenia with a hemoglobin of 4.8 and [...]

Case Presentation: A 45-year-old Japanese woman with no significant medical history presented to a primary care physician with a four-week history of fever and coughing. She had also developed fatigue and peripheral edema and was therefore admitted to another hospital. On presentation, her body temperature was 37.5℃, pulse was 98 beats per minute, blood pressure [...]