Case Presentation: This is a previously healthy 41-year-old man who presented with fevers, headache, and neck stiffness for 5 days. He also reported photophobia, anorexia, insomnia, nausea but no vomiting. He denied any recent travel and was not aware of any insect bites. The patient had a faint macular rash on his upper chest and [...]

Case Presentation: An 80-year-old man with psoriasis on ustekinumab and type 2 diabetes mellitus (A1c 5.9) presented with seven days of fever. Two weeks prior to presentation, he underwent epidural steroid injection to the cervical spine for treatment of chronic neck pain. One week later, he developed fever to 103 °F. The patient had recently [...]