Case Presentation: A previously healthy 48 year-old Guatemalan male presented with malaise, anorexia, 20-pound weight loss. Three weeks prior, he had fever, chills, emesis and diarrhea. A thorough history revealed that the patient was having intermittent confusion with labile, tearful mood swings. Lab-work confirmed pancytopenia, hyponatremia and mild transaminitis. Abdominal ultrasound showed hepatosplenomegaly. MRI brain [...]

Case Presentation: A 57-year-old man with past medical history of hypertension and left partial nephrectomy for renal cell carcinoma presented to the emergency department with several days of fevers, diarrhea, and fatigue. On examination, the patient was lethargic and febrile to 103°F with a blood pressure of 80/50mmHg. His labs were notable for an elevated [...]