Case Presentation: A 42 Y/O AAM with PMH of polysubstance abuse presented to ED with 2 weeks of worsening vertigo, headache, left facial weakness, blurred vision and new onset dysphagia. Physical exam was notable for complete left facial (VII) palsy, left abducence (VI) palsy and umbilicated facial rash. MRI of head revealed a 2.6×2.6×3.9 cm progressive brain lesion at [...]

Case Presentation: A 33-year-old male without significant medical history experienced visual changes, left-sided tingling and weakness, vertigo, nausea, and mild expressive aphasia for 2 months. At that time, he had mild upper extremity tremor and was able to walk, drive, and perform activities of daily living. On physical exam, the patient demonstrated left upper extremity [...]

Case Presentation: Good’s syndrome (GS) is a rare, adult-onset combined B and T cell immunodeficiency with an associated thymoma. These patients have an increased risk of bacterial, fungal, viral, and opportunistic infections. A 75-year-old African American female with congestive heart failure (ejection fraction 20%) and hypertension presented from home with a four-month history of fatigue, [...]