Case Presentation: 38-year-old healthy female presented with left sided facial droop, dyspnea on exertion and rash. Weeks before, she had myalgias, subjective fevers and fatigue. Days prior to presentation, she developed bilateral lower extremity edema, a mildly pruritic leg rash, and exertional dyspnea. The day of admission, she developed left sided facial droop. Exam revealed [...]

Case Presentation: This patient was a previously healthy 33-year-old Native American female that had initially presented to urgent care with right-sided facial weakness and was prescribed steroids and valacyclovir. Two days later, she began to develop left-sided facial weakness despite treatment. Over the course of the next five days, the patient experienced worsening bilateral facial [...]