Case Presentation: An 87-year-old man with a history of osteoarthritis with recent knee injection presented with malaise, chills, and fever to 102.2°F for three days. He described an abrupt onset of chills and fever at home with generalized malaise. He took standing tylenol every eight hours for his symptoms, though fevers (as high as 102°F) […]

Case Presentation: A 33-year-old man presented with acute progressively worsening diplopia for two days duration. He also developed dysarthria, difficulty swallowing, generalized muscle weakness, and shortness of breath which prompted him to seek medical attention. He was bradycardic, but otherwise afebrile and normotensive. On exam, he was diaphoretic while taking shallow breaths. Neurological exam was […]