Case Presentation: A 54-year-old male with known human immunodeficiency virus (HIV) presented to the emergency room with three weeks of progressive lower abdominal pain, nausea, chills, and a 15-lb weight loss. The patient had no diarrhea, dysuria, urinary frequency, or penile discharge. He had no recent sexual activity. He was diagnosed with HIV four years [...]

Case Presentation: A 48-year-old man with end-stage renal disease due to IgA nephropathy underwent a deceased donor kidney transplant in 2008, which resulted in graft failure. A second transplant in 2019 required additional thymoglobulin due to high panel reactive antibodies and was complicated by BK nephritis, treated with leflunomide. Since treatment, he had persistent leukopenia, [...]

Case Presentation: A 33-year-old female with a renal transplant 18 months prior was transferred to our hospital with acute kidney injury after presenting with acute gastrointestinal symptoms. One year earlier, a biopsy of the transplanted kidney revealed budding yeast consistent with Histoplasma capsulatum. Histoplasma urine and serum antigens were negative, and Itraconazole was discontinued after [...]