Case Presentation: Hemophagocytic lymphohystiocytosis (HLH) is a rare cause of pancytopenia. Patients with sickle cell disease can present with pancytopenia and recognition of (HLH) in patients with sickle cell disease may be a lifesaving diagnosis.Case presentation:A 39-year-old female with past medical history of sickle cell anemia and moyamoya disease was admitted with sickle cell vaso-occlusive [...]

Case Presentation: A 54-year-old male with a history of obesity, asthma, alcohol use disorder, tobacco use disorder, and hepatic steatosis presented with anasarca. Transthoracic echocardiogram did not demonstrate evidence of heart failure, urinalysis revealed trace proteinuria, and liver ultrasound showed patent vasculature. Albumin was 2.5. The anasarca persisted despite diuresis. Over the next two months, [...]

Case Presentation: A 47-year-old woman with lupus presented with one week of urinary frequency and dysuria. Over the prior year, she had pelvic pain, night sweats, 20 pounds of unintentional weight loss, and eight episodes of pan-susceptible E. coli urinary tract infections (UTIs), each successfully treated. Her chronic medications were prednisone, hydroxychloroquine, and azathioprine.A computed [...]

Case Presentation: A 22-year-old woman with a history of Adult Onset Still’s Disease presented with one week of acute abdominal pain, dyspnea and intermittent fevers. She was found to have thrombocytopenia to 15,000. Infectious workup was negative except for Rhinovirus/Enterovirus on viral panel. HIV and HHV8 were negative. MRI Abdomen showed hepatosplenomegaly and computed tomography [...]

Case Presentation: A 59-year-old female with a history of Asthma, COPD and tobacco use, unknown to have malignancy, presented to the emergency department complaining of dyspnea, cough and back pain. She had tachycardia, tachypnea and oxygen saturation was 91% on 2 liters oxygen. Physical exam was significant for bilateral wheezing.Initial workup showed a high white [...]

Case Presentation: The patient is a 57 year old Hispanic male with history of AIDS who presented with two weeks of left flank pain, fatigue and fevers. Physical exam showed mild tenderness of the left flank. Labs showed a chronic anemia and an absolute CD4 count of 111. Kidney function was normal, and urinalysis was [...]

Case Presentation: Our patient is a 74-year-old male with a history of thrombocytopenia thought secondary to ITP, hypothyroidism, and prior spontaneous coronary artery dissection requiring cardiac bypass who was transferred from an outside hospital for acute kidney injury and abdominal distention. A few weeks prior to admission, the patient experienced congestion, cough and low-grade fever [...]

Case Presentation: 55 year old man with history of diabetes, hypertension and remote history of testicular cancer treated with chemotherapy and orchiectomy in 1993 and currently with no active malignancy presents with fever and malaise which began about a week ago. On admission, his laboratory results were notable for leukocytosis with a white blood cell [...]

Case Presentation: A 65 year-old woman with a history of renal cell cancer status post nephrectomy and breast cancer treated with lumpectomy and radiation presented with three weeks of progressive lower extremity weakness and confusion. She had poor short-term memory, word-finding difficulties, and difficulty walking. She had no fever, night sweats, or weight loss. Exam [...]

Case Presentation: A 75 year-old man with recently diagnosed bladder cancer presented with fever and dyspnea, one month after a laparoscopic cystectomy, radical prostatectomy, lymph node dissection, and urinary diversion via ileal conduit. On arrival, he was febrile to 38.4 C, heart rate of 110 bpm, tachypneic on 2L supplemental oxygen. His abdomen was nontender [...]