Case Presentation: A 27-year old African American male presented with 3 months of bilateral inguinal lymph node enlargement, fevers, night sweats, fatigue, and weight loss. Patient presented for outpatient nodal biopsy and subsequently sent to the ED with severe thrombocytopenia with platelets less than 10,000 and complaints of gum bleeding and petechiae of 3 days. [...]

Case Presentation: A 35-year-old woman with no significant medical history presented with severe headache, neck pain, photophobia, fevers, nausea, vomiting, and petechial rash for 5 days. She had recently attended a large outdoor wedding in rural Iowa. On exam her vital signs were within normal limits and neurologic exam was without focal deficits or meningeal [...]