Case Presentation: A 63-year-old male was admitted to the hospital for dizziness secondary to heart failure exacerbation and incidentally found to have thrombocytopenia of 141,000 on admission. Over the next 72 hours, the patient’s platelet count decreased by over 50% to 51,000 while all other cell lines remained stable. The patient had not received any [...]

Case Presentation: An 18-year-old male with no significant past medical history presented with four days of worsening fever, sore throat, nausea, vomiting, headache, and difficulty swallowing. One month prior, he presented to an urgent care with an enlarged tender lump below his chin and swollen lymph nodes. He was diagnosed with infectious mononucleosis (IM) and [...]

Case Presentation: We present a 61 year old female with a history of hypertension and rheumatoid arthritis well controlled on Humira who presented to the ED with tachycardia and tachypnea, found to have profound lymphocytic leukocytosis and altered mental status. The patient’s family reported a history of fatigue and confusion for 4 days as well [...]

Case Presentation: A 29-year-old woman presented to the emergency department for a 5-day history of persistent fever, sore throat, diffuse myalgias, and epigastric abdominal pain. The patient was recently diagnosed and treated for pelvic inflammatory disease after unprotected intercourse with a new sexual partner. On examination, she was tachycardic, hypotensive, afebrile and was noted to [...]

Case Presentation: 81-year-old man initially presented to his primary care physician for a persistent cough of three weeks associated with new onset shortness of breath when climbing stairs. He had a normal chest X-Ray, but also a mild anemia. Initial work-up was targeted at evaluation for a gastrointestinal bleed. He underwent a CT abdomen/pelvis, upper [...]

Case Presentation: A 62-year-old man with type 2 diabetes was hospitalized with a two-week history of fatigue, sore throat, diarrhea, and 18-pound weight loss. In the ED, he was hypotensive and tachycardic, which improved with IV fluids. Physical exam was significant for bilateral posterior cervical lymphadenopathy and splenomegaly. Labs showed leukocytosis (25.8K) with 18.2% lymphocytic [...]

Case Presentation: A 33 year-old Caucasian female with history of 1 spontaneous abortion presented with periorbital edema, dark urine, arthralgias and fevers (Tmax 102) for 2 weeks. The patient reported many environmental exposures as a native of Brisbane, Australia such as outbreaks of Ross River Fever, encounters with flying foxes (reservoirs for Lyssa, Hendra viruses), [...]

Case Presentation: A 29-year-old male presented to our hospital with four weeks of worsening fatigue, shortness of breath and a 15lb weight loss due to anorexia. He was short of breath walking up a single flight of stairs, which resolved with rest. He had no environmental exposures, sick contacts or recent travel. His mother had [...]

Case Presentation: A 21-year-old healthy Hispanic male presented to the hospital for evaluation of fever and sore throat for 4 weeks. He had no significant past medical history and he was not on any medications. His vital signs were within normal limits. Physical exam revealed icterus and no hepatosplenomegaly. The remainder of the physical exam [...]

Case Presentation: We present the case of an 18-year-old female with no medical history presented to the emergency department with a two-day history of jaundice and dark-colored urine. She had no other typical symptoms of IM like sore throat, fever or flu-like symptoms. The only medication that she has been taking regularly is oral contraceptive [...]