Case Presentation: A 67-year-old woman with a history of cocaine use presented with six weeks of progressive bilateral upper and lower extremity weakness, burning pain, and difficulty ambulating. Exam was significant for low grade fever and decreased sensation to pinprick in a stocking-glove distribution in all extremities. Muscle strength was reduced in the distal upper [...]

Case Presentation: A 69-year-old male with a history of severe peripheral neuropathy, C4-C5 spinal stenosis, and COPD presented with confusion, neuropathic pain, and acute respiratory failure. His respiratory failure resolved with diuresis. His neuropathy began eight years ago after moving into a trailer home; it involved all extremities and was debilitating. His wife noted progressive [...]

Case Presentation: Patient is a 57-year-old female with past medical history significant for alcohol use disorder who presented to an outside facility with one month history of bilateral lower extremity (BLE) weakness associated with nausea, vomiting, diarrhea, and weight loss. CT abdomen pelvis showed evidence of diverticulitis. She was treated with antibiotics and discharged. Patient [...]