Case Presentation: A 64 year-old woman presented with two weeks of progressive refusal to eat, weakness, and somnolence. She had two weeks of abdominal pain that was worse with eating and diarrhea with significant weight loss and generalized weakness. She also endorsed worsening depression and suicidal ideation. Per the family, she was delusional and “losing [...]

Case Presentation: 41 year old male with a history of substance use (Phencyclidine/PCP) was brought to the hospital after being found nude and unconscious outside for an unknown period. At presentation he was awake but mute, not following commands nor tracking with his eyes. He was intermittently agitated. Exam notable for fever 103F, heart rate [...]

Case Presentation: A 32 year-old female with history of systemic lupus erythematosus, depression and anxiety was admitted to the medical ward with cytomegalovirus pneumonitis and viremia. On hospitalization day 21, patient had an acute change in mental status becoming nonverbal and non-interactive with examiner. Medications at the time of incident were ceftriaxone, valgancyclovir, thiamine, prednisone [...]