Clinical Vignette 70

A late middle-aged woman with liver cirrhosis (MELD score 18) from non-alcoholic steatohepatitis presented with fever for 2 days. She was hypotensive at the emergency department, but became normotensive after fluid resuscitation. A CT of the abdomen and pelvis showed left hydronephrosis secondary to a small ureteric stone, with inflammatory changes seen around the kidney. […]

Clinical Vignette 68

A young man with no recent travel was diagnosed with acute myeloid leukemia (AML). He underwent allogeneic hematopoietic stem cell transplantation (allo-HSCT) with posaconazole and levifloxacin prophylaxis after completing standard induction and consolidation chemotherapy, complicated by culture-negative febrile neutropenia. Just after engraftment, he developed fever again (absolute neutrophil count of 370 cells/cubic millimetre of blood). […]