Case Report 36-year-old female admitted to hospital after being found in the bathtub with decreased responsiveness and profound weakness. The patient had no medical problems and had been in her usual state of health until one month before admission when she developed frequent headaches and blurry vision. Per family, the patient had become more withdrawn recently and was not allowing anyone to visit her home. On examination in the Emergency Department, the patient was found to be hypertensive, to have a blood pressure of 207/148 mmHg, to have the heart rate of 110 beats per minute, and appeared confused and dehydrated, with multiple bruises over her body.

Laboratory examination revealed White blood cell (WBC) count of 20.5/nL, Hemoglobin of 12.3 g/dL, and platelets of 44,000/μL. Creatinine on admission was noted to be 7.0 mg/dL. Patient tested negative for cardiolipin antibody and…