Case Presentation: Progressive dysphagia associated with weight loss is usually related to upper gastrointestinal cancer. As a differential diagnosis, fungal infections may present with a similar clinical presentation due to upper GI lesions. Paracoccidioidomycosis (PCM) infection is a systemic granulomatous disease caused by the fungi Paracoccidioides brasiliensis, especially important in rural areas of Latin America. [...]

Case Presentation: A 78-year-old female with controlled type 2 DM (A1C 7%, diet control), hypertension and left-eye glaucoma with resultant vision loss was initially admitted for atypical chest pain. She reported unintentional weight loss of 30 pounds in three months and progressive blurry vision of her right eye for 4 months, which had been evaluated [...]

Case Presentation: 42 year old male with history of active substance abuse and multiple psychiatric diagnosis who presented with acute onset of progressive weakness and multiple cranial nerve palsies (extra ocular, facial and bulbar involvement) in the setting of recent IV and subcutaneous heroin use. Patient initially had onset of generalized fatigue, dysarthria and left [...]

Case Presentation: An 80-year-old man with hypertension, coronary artery disease s/p PCI and new-onset depression on SSRI presented with slurred speech due to a sensation of tongue heaviness that started 3 days prior to presentation. Acute stroke was ruled out and further history revealed the patient experienced multiple falls over the past 4 years, each [...]