Case Presentation: The patient was a 57 year old male with IgG lambda MM (Multiple Myeloma) without remission after autologous hematopoietic stem cell transplant. One month after transplantation, he developed erythematous right flank swelling, high fever, fatigue and anorexia. CT scan revealed inflammatory stranding of right medial gluteal musculature and pre sacral space which was [...]

Case Presentation: The World Health Organization designates a rare disease as one affecting under 6.5-10 per 10,000 people (1). We present a case of disparate findings, ultimately diagnosing Erdheim-Chester Disease (ECD), a rare non-Langerhans histiocytic multisystem disorder with fewer than 1000 reported cases (2,3).A 63-year-old man presented with months of progressively worsening anasarca, acute on [...]

Case Presentation: A 46-year-old female with history of rheumatoid arthritis and asthma presented with chest and back pain to an outside facility and was evaluated for acute coronary syndrome and cholecystitis. Patient’s absolute eosinophil count (AEC) was 1.76 at that time. Patient was re-admitted with altered mental status and vomiting. Her AEC was 41. Strongyloides [...]

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 49 year old female with past medical history of atrial fibrillation, cerebrovascular accident, and hypertension presented with abdominal pain and rectal bleeding. Patient reported 3 days of worsening, non-radiating L-sided abdominal pain. Review of systems was positive for one episode of fever to 38.3℃, nausea, anorexia, and blood-streaked diarrhea. The patient had [...]

Case Presentation: A 38-year-old woman with no significant past medical history presented with fever, diffuse rash, and hypoesthesia. One year prior, the patient developed flesh-colored patches on her abdomen and raised lesions under her left arm. A biopsy revealed cutaneous nontuberculous mycobacterial infection with 4+ acid fast bacilli (AFB) stain, but AFB cultures were negative. [...]

Case Presentation: The patient is a 69-year-old female with hemoglobin S/C disease, hypertension, and chronic kidney disease who presented to the hospital for lower back pain in the setting of a fall. CT scan demonstrated an L1 compression fracture and an incidental finding of cystic lesions in the liver and kidneys. Subsequent MRI demonstrated innumerable [...]

Case Presentation: We present a case of a 22-year-old female with necrotizing lymphadenopathy, later diagnosed with Kikuchi-Fujimoto disease (KFD). The patient initially presented with fevers, night sweats, and painful swelling in the left side of her neck progressively worsening over four days. She also reported lightheadedness, a left-sided orbital headache, and a decreased appetite. There [...]

Case Presentation: A 26-year-old man with no significant past medical history presented to medical attention with severe oral mucositis. Approximately one week prior to his presentation, the patient developed symptoms of a respiratory illness with a productive cough, myalgias, and fever of up to 103 Fahrenheit. Although his respiratory symptoms began to improve, he developed [...]

Case Presentation: A 64-year-old male presented to the Emergency Department with fevers, anorexia, flank pain and two months of progressive oral sores diagnosed as refractory oral candidiasis by his outpatient provider. Comorbidities included hypertension and obesity (body-mass-index 70). Labs revealed an elevated white blood cell count (14,000/L). Bilateral pyelonephritis was diagnosed on computed tomography. Broad [...]