Case Presentation: An 18-year-old woman admitted to the hospital due to a new-onset tonic seizure lasting five minutes. She had recent history of flu-like illness a few weeks earlier. A review of systems revealed auditory and visual hallucinations. On physical examination, she was drowsy and disorientated to time only, but was following commands. Neurological examination [...]

Case Presentation: A 74-year-old male with a past medical history of Stage III CKD and paroxysmal atrial fibrillation was initially taken to his PCP by his wife for changes in his mental status, trouble remembering things and following directions while driving. As his outpatient workup was ongoing, he also developed a fever with chills and [...]

Case Presentation: A 22-year-old male with history of diabetes mellitus type I presents with 3 weeks of right inguinal pain with CT scan which showed a enlarged lymph node measuring 3.5 cm x 2.8 cm which was subsequently biopsied and showed necrotizing granulomatous lymphadenitis. He then presented with status epilepticus approximately 1 week after his [...]

Case Presentation: A 69 year old man with history of Stage IV Mantle cell lymphoma on maintenance Rituximab presented to the emergency department with acute confusion and expressive aphasia. Patient was at his behavioral and functional baseline prior to this episode and there had not been any recent illnesses, medication changes or inciting events. Initial [...]

Case Presentation: This is a 64 year old male with a past medical history of bipolar disorder without previous psychiatric admissions, type 2 diabetes mellitus, stroke and autoimmune encephalitis that presented to the emergency room from a subacute rehabilitation facility (month long stay since an L3-L4 discectomy) with altered mental status. While at the rehabilitation [...]

Case Presentation: A 29 year old woman presented with a generalized tonic clonic seizure and progressively worsening ataxia over the last six months. She also had memory deficits and diplopia. Her past medical history included Li Fraumeni syndrome and an immature ovarian teratoma that was treated with a right oophorectomy and chemotherapy in 2015. Her [...]

Case Presentation: A 60 year-old female with no significant past medical history was brought in as a level 2 trauma after being involved in a motor vehicle accident. The non-contrast head CT demonstrated bilateral frontal brain lesions, prompting a brain MRI which revealed a non-enhancing T2/FLAIR hyperintense lesion in the anterior frontal lobes and crossing [...]

Case Presentation: A 65-year old man with a history of coronary artery disease, heart failure, and Crohn’s disease, who is a resident of northern Wisconsin presented with fevers, headache, and neck stiffness. Due to concern for meningitis, he was started empirically on Ceftriaxone, Vancomycin, Ampicillin, and Acyclovir. One day after initiation of therapy, he developed [...]

Case Presentation: A 27 y/o M presented after an episode of confusion and abnormal behavior. Patient reported 1 week of intermittent headaches, nausea, emesis, and dizziness. He had no sick contacts or recent travel. Family history was significant for SLE. On exam he had diffuse weakness but was otherwise neurologically intact without meningeal signs. Initial [...]

Case Presentation: A 82-year-old male was admitted for generalized weakness lasting several weeks. Past medical history consisted of dilated cardiomyopathy status-post AICD, remote history of large B-cell lymphoma, chronic headache and dizziness for years with worsening over the last several months. Patient’s presentation was notable for low grade fever and hypotension. Physical exam showed a [...]