Case Presentation: A 71-year-old male with no known past medical history presented with chief complaint of fatigue associated with generalized weakness, malaise, slurring of speech and body aches specifically upper and lower back pain for 3 weeks. He reported working in the woods. Vital signs were unremarkable. Physical exam was remarkable for a faint erythematous [...]

Case Presentation: A 71 year-old man with no medical history presented in October with fevers, headache, neck stiffness, photophobia, and confusion for 3 days. Per family, patient was fully functional with no memory deficits at baseline. He never traveled outside of New York tri-state area and has had no sick contacts or insect bites. Initial [...]

Case Presentation: An 86-year-old woman with history of EBV encephalitis four years prior presented for altered mental status and emesis in September. Previously, the patient was able to perform all activities of daily living. A week prior to presentation, patient developed a cough and was noted to have slow mentation. Exam was notable for fever [...]