Case Presentation: A 54-year-old male with no past medical history presented with chief complaint of generalized weakness, fatigue, headache, loss of appetite and intermittent fever and chills for 5 days. On arrival to the ED, his vitals were notable for temperature was 102.3F.. Labs notable for a hemoglobin 12.5 g/dL, platelets 55×109/L, sodium 128 mmol/L, […]

Case Presentation: A 67-year-old male presented with progressive bilateral upper extremity weakness, diplopia and neck pain of 1 week duration. Patient noted to have bilateral facial droop, weakness and areflexia of both upper extremities on physical exam. He reported having fevers and bloody diarrhea a few months prior to presentation. Magnetic resonance imaging (MRI) of […]

Case Presentation: Lyme disease (LD) is caused by the Ixodes tick-borne infection with spirochetes Borrelia burgdorferi [1]. LD is most commonly reported in the Northeastern and upper Midwestern United States [2]. It is divided into three stages. Early localized, stage 1, with Erythema Migrans (EM) bull’s eye lesion present in 70-80% of patients [1], within […]

Case Presentation: A 60-year-old man with a history of nonverbal seizure disorder on lamotrigine presented to the Emergency Department, after being found down. The patient endorsed multiple episodes of syncope in the past 24 hours. Immediately preceding each episode, he felt an electric sensation on the left side of his head associated with what he […]

Case Presentation: The patient is a 72-year-old male with a medical history of gout and hypertension who presented from an outside hospital with diplopia and muscle cramps. Per patient report, he was sitting at home watching TV when he started noticing double vision, followed by a pressure sensation around his left eye. He did not […]

Case Presentation: A 5-year-old male presented to an outside hospital with one month of headaches, decreased visual acuity (VA) and color vision, and one day of vomiting. Workup included CT brain and venogram with an incidental corpus callosum cyst, ESR of 19 (0-15 mm/hr), and normal blood counts, CRP, and metabolic and hepatic panels. Ophthalmologic […]