Case Presentation: A 37-year-old female with systemic lupus erythematosus (SLE), noncompliant with mycophenolate mofetil (MMF) and hydroxychloroquine, complicated by Class V membranous lupus nephritis and cirrhosis due to autoimmune hepatitis, presented with generalized weakness and altered mentation. This followed a recent admission for methicillin-sensitive Staphylococcus aureus (MSSA) bacteremia and acute kidney failure requiring hemodialysis (HD), [...]

Case Presentation: A 48-year-old woman with a history of fibromyalgia presented with a three-month history of progressive dyspnea, muscle weakness, weight loss (20 kg), and worsening respiratory symptoms. She initially sought care for productive cough, fever, and dyspnea, receiving treatment for pneumonia with ceftriaxone on two occasions with transient symptom relief. However, her symptoms recurred [...]

Case Presentation: A 52-year-old female with discoid lupus on immunosuppressive medications and a history of gout presented with acute right wrist pain and swelling and subjective fevers. There was no history of trauma or other joint involvement. Notable examination findings include significant swelling of the right wrist without overlying erythema or induration. She was noted [...]