59-Year-Old Woman With Fever and Hematemesis

A 59-year-old woman with long-standing seropositive rheumatoid arthritis (RA) presented with cough, fevers, hematemesis, and melena. For the past 2 years, she had experienced intermittent black tarry stools and abdominal pain associated with fatigue and drenching night sweats. However, no source of bleeding was previously found by colonoscopy and esophagogastroduodenoscopy (EGD). In the 3 weeks leading to hospital admission, she began to experience persistent flu-like symptoms with subjective fever, cough productive of greenish-brown sputum, and black stools.

Source: Mayo Clinic Proceedings - July 7, 2023 Category: Internal Medicine Authors: Rebecca Yao, Daniela Guerrero Vinsard, Seth Sweetser Tags: Residents ’ Clinic Source Type: research