Case Presentation: A 41 year‐old man with a past medical history of AIDS CD4 count of 2 cells/ml was found in the subway complaining of generalized weakness and a tender lesion on his left leg. He denied recent trauma, insect bites or exposure to seawater or animals. His only recent travel was to Boston and […]

Case Presentation: Patient presented to the ED in June 2019 with 6 month history of progressive proximal bilateral upper and lower extremity weakness, swallowing difficulty and 100 lbs. weight loss over 3 months. Exam was significant for decreased strength of bilateral hip flexors, knee flexors and knee extensors with intact reflexes. Labs were significant for […]