Case Presentation: Coccidioidomycosis is a highly variable disease endemic to the southwest with 60% of infected individuals remaining asymptomatic or suffering mild respiratory illness. Less than 1% of cases result in life-threatening dissemination with immunocompromised hosts being most at risk. We present a rare case of multifocal disseminated coccidioidomycosis (DC) in an immunocompetent young male […]

Case Presentation: A 25-year-old previously healthy male presented with two weeks of right arm and leg weakness, paresthesia, difficulty walking, and low-grade fever. Head CT revealed two masses in the superior left cerebral hemisphere. Head MRI showed two intensely enhancing masses measuring 2.6 x 2.7 cm and 1.6 x 1.7 cm with marked surrounding edema […]

Case Presentation: 50 y.o African American male with a history of schizophrenia presented for headache, blurred vision and acute onset aphasia. On exam, patient was alert, but unable to follow commands. He was noted to have poor dentition. Lab studies revealed WBC count of 4.1 with 47% neutrophils. BMP and liver function studies were unremarkable. […]