Clinical Presentation
A 33 year-old woman with cystic fibrosis who underwent bilateral orthotopic lung transplantation twelve weeks ago presented to the emergency department complaining of increasingly severe right upper quadrant pain of one week’s duration. Physical examination was remarkable for moderate jaundice and marked right upper quadrant tenderness to palpation. Liver function testing revealed [...]
Clinical History
A 7 month-old male was admitted for severe pneumonia with respiratory compromise. Laboratory studies demonstrated leukocytosis and profound hypocalcemia. An inherited immunodeficiency syndrome was suspected. A CT scan of the chest revealed bilateral lobar pneumonia, and no thymus was seen. Dual-probe fluoresence in-situ hybridization for deletions of 10p13p14 and [...]
Clinical Presentation
A 14-year-old boy with no significant past medical history presented to the emergency department complaining of severe abdominal pain which had begun several hours prior in a periumbilical location, then had migrated to the right lower quadrant. Physical examination revealed marked right lower quadrant abdominal tenderness, and a complete blood count was remarkable for [...]
Clinical History
A 30-year-old Hispanic man with a history of diabetes mellitus had a staphylococcal abscess of the calf several weeks prior to presentation that was treated with antibiotics. He was in his usual state of health until two to three weeks before presentation, when he developed rapidly progressive leg pain, fever, and myalgias. He quickly [...]
