Case Presentation: A 70-year-old man with PMH of chronic lymphocytic leukemia (with good hematologic response to Ibrutinib, stopped three months ago due to persistent fevers of unknown etiology), nephrolithiasis (with recent ureteral stent placement), presented with fever to 40.5 degrees Celsius. Patient was found to have E. coli bacteremia due to urinary tract infection and [...]

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: An 87-year-old female with a history of bilateral knee osteoarthritis presented to the emergency room with complaints of intermittent fever ongoing at home for two weeks. She recently had a Lipogems injection procedure done to her right knee. She denied any history of recent travel, tick bites or sick contacts. Physical exam was [...]

Case Presentation: A 19-year-old male with recent diagnosis of human immunodeficiency virus (HIV) (CD4 580/mm³ and viral load 1.2 million/mm³) and Kaposi sarcoma (KS) was transferred to our hospital for refractory thrombocytopenia. Prior to his presentation, he experienced a month of fatigue, night sweats, weight loss, and facial and neck swelling. His outside hospital workup [...]

Case Presentation: An 18-year-old female with no known past medical history presented to the emergency department with hematuria, chills, cough, and body aches lasting approximately one week. On admission, she was afebrile with stable vital signs. Laboratory findings revealed a normal white blood cell count of 6 × 10³/μL, normal creatinine of 0.6 mg/dL, elevated [...]

Case Presentation: A 40 year old female with a medical history of pancreatitis and gastroesophageal reflux initially presented with cough and viral cold symptoms. She was initially febrile to 102 F, with labs significant for WBC 3,900 (normal 4,500-11,000 WBC/uL), hemoglobin 9.1 (12.0-15.5 g/dL), and platelet count 35,000 (150,000-450,000 /uL). She quickly deteriorated with new [...]

Case Presentation: We present a 71-year-old male with stage IV melanoma on cycle 17 of Nivolumab admitted after presenting with altered mental status, hypotension, tachycardia, fever of 40.5°C, hypoxia requiring BiPAP, and grade 3 maculopapular rash. Labs revealed serum creatinine of 1.68, platelet count of 86, fibrinogen of 260, PT 11.2, PTT 42, d-dimer > [...]