Case Presentation: A 32-year-old Human Immunodeficiency Virus (HIV)-negative male presented with one week of headaches, dizziness, blurry vision, nausea, and vomiting. He denied fevers, chills, cough, hemoptysis, neck pain or stiffness, recent travel, sick contacts, photophobia, or phonophobia. He was recently diagnosed with cryptococcal meningitis (CM) and cryptococcal pneumonitis (CP) after presenting previously with 1.5 [...]

Case Presentation: A 33-year-old Kenyan male school teacher presented to the hospital with a 3-day history of a gradually worsening diffuse headache, nausea and vomiting, and fevers. His past medical history was notable for liver cirrhosis of unknown etiology (Child-Pugh class B), complicated by portal hypertension. He had no known history of tuberculosis. His vital [...]

Case Presentation: A 4-month-old unvaccinated male, presented with left-sided weakness and decreased activity. Initial physical exam demonstrated right gaze deviation, left hemineglect, decreased left-sided movements, and absent left plantar reflex. Labs showed leukocytosis 22.8 K/uL, anemia 8.6gm/dL, and thrombocytosis 661K/uL. CT brain demonstrated intracerebral edema in the distribution of the right middle cerebral artery (MCA). [...]

Case Presentation: A 35-year-old woman with no significant medical history presented with severe headache, neck pain, photophobia, fevers, nausea, vomiting, and petechial rash for 5 days. She had recently attended a large outdoor wedding in rural Iowa. On exam her vital signs were within normal limits and neurologic exam was without focal deficits or meningeal [...]

Case Presentation: A 66 yo man with a past medical history of CAD, b/l knee osteoarthritis, CKD, CVA, T2DM, HTN, and HLD presented to the ED complaining of back pain and left knee pain. In the ED, patient was responsive and fully alert. Labs were significant for hyperkalemia of 6.0, anemia of 9.1. He was [...]

Case Presentation: A previously healthy 19-year-old woman presented to the hospital for a persistent headache with photophobia, nausea, and vomiting that started one week prior. Previously, she was evaluated in the emergency department three times with a negative brain MRI with contrast as well as MRI angiography and venography. On admission, given lack of improvement, [...]

Case Presentation: A 42-year-old female with a past medical history of hereditary angioedema, hypertension, and asthma presented to the emergency department with sudden onset weakness and numbness in the right upper and lower extremities, coupled with a posterior “pressure-like” headache. On presentation, she was non-febrile, hypertensive at 169/92 mmHg with a regular heart rate (80 [...]

Case Presentation: 5 59-year-old male with alcoholic cirrhosis, hypertension, COPD, and diabetes mellitus presented with a 3-month history of progressive confusion and altered mental status. His family reported memory decline, prompting multiple ER visits primarily focused on cirrhosis-related complications, overlooking the neurological symptoms’ etiology. Initial improvement following hepatic encephalopathy treatment was short-lived, leading to rapid [...]

Case Presentation: 51-year-old female with a past medical history of end-stage renal disease on intermittent dialysis and a recent vitreous hemorrhage status post pars plana vitrectomy with endo-laser photocoagulation 2 days prior to admission, presented with post-operative severe bilateral eye pain, headaches, and fevers. She was diagnosed with acute angle-closure glaucoma in the left eye [...]