Background: Heparin-induced thrombocytopenia (HIT) syndrome is an immune-mediated disorder producing thrombocytopenia and thrombosis, with or without prior exposure to heparin. Although avoidance of heparin products and non-heparin anticoagulants are used, immune-based therapies including intravenous immunoglobulin have been tried when the thrombocytopenia persists or there is breakthrough thrombosis. We sought to systematically review and analyze the [...]

Case Presentation: 66 year old man with a history of eosinophilic granulomastosis with polyangiitis presented with ascending numbness and unsteadiness that worsened over two days and finally manifested as paraesthesia and weakness in all extremities, gait imbalance, and diplopia. Three weeks prior to presentation, the patient had received the flu vaccine. Neurology was consulted upon [...]

Case Presentation: A 63-year-old male with past medical history of hyperlipidemia and diabetes mellitus presented to an outside hospital with diplopia and new onset weakness, paresthesia, and numbness in bilateral lower extremities three days following a mild viral infection. The patient was discharged after two days without acute intervention following extensive negative workup including imaging, [...]

Case Presentation: A 40-year-old-male with history of diabetes type 1 and renal transplant on immunosuppression presents with 2 weeks of weakness, anorexia, and cough. Initial exam revealed temperature 102.8 but was otherwise normal. He was started on empiric broad-spectrum antibiotics. Two days after admission, he was found obtunded and dysarthric. He suffered an aspiration event [...]

Case Presentation:   A 47-year-old woman with history of immunoglobulin G (IgG) deficiency presented with severe headache, fever, vomiting, neck pain and photophobia. On the day prior to admission, she received first dose of Intravenous immunoglobulin (IVIG) infusion for recurrent bacterial infections refractory to antibiotic prophylaxis. On examination, her temperature was 100 °F and vital [...]

Case Presentation: We present a 69-year-old man with past medical history of well-controlled type 2 diabetes and multiple myeloma status-post chemotherapy (daratumumab, lenalidomide, bortezomib, melphalan) and subsequent bone marrow transplant (BMT) who presented with subacute progressive bilateral numbness and weakness in his upper and lower extremities and was found to have acute inflammatory demyelinating polyneuropathy.His [...]

Case Presentation: This abstract discusses the inpatient care of a 74 year-old female who had three hospital admissions throughout 2022 with a detailed focus on the second admission. According to the patient’s discharge summary from her first admission, she was diagnosed with severe rhabdomyolysis (secondary to statin use) and acute renal failure requiring outpatient hemodialysis. [...]

Case Presentation: A 27 y.o. male with a history of pre-B cell ALL in complete remission on maintenance therapy with vincristine, 6-mercaptopurine, methotrexate, and receiving intrathecal methotrexate for CNS prophylaxis presented with a 2 week history of fevers, productive cough, night sweats, and fatigue. He had no recent exposure to children or sick contacts. Physical [...]

Case Presentation: 63 year old female with RA on methotrexate presented with a 2 week history of fevers (Tmax of 102), nausea, and multiple episodes of diarrhea. The patient denied any recent travel, sick contacts, or antibiotic use. On admission, CT abdomen/pelvis showed extensive enterocolitis as well as thrombocytopenia with platelets of 128K. Stool GI [...]

Case Presentation: A 79-year-old Caucasian male presented to the hospital with complaints of worsening generalized weakness, difficulty swallowing, and shortness of breath for about 3 weeks. His past medical history was significant for metastatic melanoma (metastasis to brain, lung). He received his first session of immunotherapy with Ipilimumab and Nivolumab one month before his presentation [...]