Case Presentation: A 70-year-old man with a history of human immunodeficiency virus (CD4 count 500) and alcoholism presented with 5 days of fever and cough, associated with headache and worsening altered mental status. He was febrile to 100F, tachycardic, hypotensive, extremely irritable, photophobic, and with positive nuchal rigidity. Laboratory findings showed a leukocytosis to 25. […]

Case Presentation: A 69-year-old Brazilian female who moved to the US in the 1990s with history of COPD, hypertension, and depression (treated 5 years ago with Seroquel) presented to the ER with 2 weeks of cough, diarrhea, and post-tussive emesis. The patient was febrile to 103 F, BP 96/58, tachycardic to 110, and hypoxic to […]