32 yo M, #HIV-infection, non-compliant with meds, came in fe | Figure 1

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32 yo M, #HIV-infection, non-compliant with meds, came in febrile, hypotensive, diaphoretic with complaints of sore throat. Blood smear shows this. Thoughts?

More about this case

Unresolved Common presentation

Case Details

Patient 1

• Age: 48 yrs
• Gender: M
• Presentation: Admitted to ED with one day history of SOB, Fever on and off for 2 days, Dry cough for 2 days.
• Patient History: Initially hypoxic with arterial oxygen level of 72%, improved to 83% on 15 liters/minute.

Patient 2

• Age: 81 yrs
• Gender: M
• Presentation: Complained of a painful rash that began as blisters and turned hemorrhagic 2 days prior.
• Additional Findings: Low grade fever.

Patient 3

• Age: 54 yrs
• Gender: F
• Presentation: Intermittent fever and tachypnea for a month associated with anorexia and no pain.
• Imaging: Sonar showed hepatosplenomegaly, mild ascites; CT showed malignant renal cyst.
• Labs: Elevated bilirubin, ALT, GGT; normal alpha-feto protein; negative virology, positive Epstein Barr IgM and IgG.
• Past History: Cholecystectomy 20 years ago; no cardiac diseases, no HTN, no diabetes.

Patient 4

• Age: 34 yrs
• Presentation: Admitted with generalized body aches and a 3-day history of fever.
• Testing: Negative for COVID-19 but positive for dengue.

Patient 5

• Age: 52 yrs
• Presentation: Presented with chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. Previous medical history includes hypertension, long-term smoking.

Patient 6

• Age: 28 yrs
• Presentation: 3-day history of intense pruritus over the lower back; cares for a kennel with rescued dogs.

Patient 7

• Age: 4 months
• Gender: M
• Presentation: Skin lesions localized to the chin for the past 3 days; revealed multiple small pustules with surrounding inflammatory signs.

Patient 8

• Age: Late teens
• Presentation: Presented after a collapse; no chest pain or relevant medical history; EKG features to warrant further work-up.