Case Presentation: A 62 year old man with new diagnoses of asthma and GERD presented with an absolute eosinophil count of 21,000 cells/μL and 2 weeks of worsening dyspnea, cough, and dysphagia. His outpatient medications included diltiazem, aspirin, and recurrent short courses of oral prednisone for suspected asthma exacerbations. Admission vitals were notable for an […]

Case Presentation: This is the case of a 44-year-old Hispanic male with a history of polysubstance use (alcohol, marijuana and cocaine) and vitamin B12 deficiency presented to the emergency department with lower limb weakness, fasciculations, spasms, paresthesia, ataxia, left-sided blurry vision, emesis and intractable hiccups for several days. He initially symptoms started in September 2018 […]