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 45 year old female with history of psoriatic arthritis and renal transplant from a living unrelated donor (performed in the Philippines in 2014) presented with symptoms of fever, fatigue, weakness, tremors, epigastric pain, and loose stools. At the time of presentation, she had recently completed three cycles of plasmapharesis/IVIG and one cycle [...]

Case Presentation: Our patient is a 58 year-old Portuguese-speaking female with a history of CLL and autoimmune hemolytic anemia who presented with severe epigastric pain, nausea, and vomiting. She presented with similar symptoms requiring two prior admissions within the last 6 weeks. CT scan of the abdomen and pelvis showed bowel wall thickening and hyperenhancement [...]

Case Presentation: A 71 year old woman with a history of rheumatoid arthritis with multiple previous emergency room visits for fever presented with fatigue and weakness. Over the past few months she had nearly daily fevers, with decreased oral intake and urination over the past week. Her family members had previously tested positive for Influenza, [...]

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 68-year-old male with history of IgG4-related autoimmune pancreatitis presented to the Emergency Department with a one-month history of generalized weakness and a 25 lb unintentional weight loss over the past three months. Labs were notable for elevated lactate (3.4 mmol/L), new thrombocytopenia (platelets 29 ×10^9/L), and a stage II acute kidney injury [...]

Case Presentation: A 25-year-old African American male with a history of Frasier syndrome, renal transplant, bilateral orchiectomy, and chronic immunosuppression presented to an outside hospital with a three-day history of shortness of breath and malaise. Workup revealed bilateral multifocal pneumonia and an acute kidney injury. He was transferred to the ICU at our hospital so [...]