27-Year-Old Woman With Fever, Headache, and Anemia

A 27-year-old woman with a history of autoimmune polyendocrinopathy syndrome with adrenal insufficiency and autoimmune thyroiditis, recurrent central line –associated bloodstream infections, gastroparesis while receiving home total parenteral nutrition via a peripherally inserted central catheter (PICC), deep venous thrombosis and pulmonary embolism, hypogammaglobulinemia, and chronic anemia attributed to iron and vitamin B12 deficiency requiring nu merous packed red blood cell transfusions presented to the emergency department (ED) with fevers, headache, and worsening anemia.

Source: Mayo Clinic Proceedings - May 31, 2020 Category: Internal Medicine Authors: Natashay J. Bailey, Robert M. Kraft, Will M. Schouten Tags: Residents ’ Clinic Source Type: research