Case Presentation: A 45-years-old African American male with a past medical history of seizure disorder, chronic alcohol abuse, and cervical spine injury, presented to hospital after a witnessed tonic-clonic seizure episode that resolved spontaneously. Initial evaluation revealed hypotension (90/57mmHg), tachycardia (145), tachypnea (36), temperature of 39.1 degrees celsius, leukocytosis (24.2×10^3/microliter) with bandemia, and lactate of […]

Case Presentation: A 29-year-old Caucasian woman with chronic alcohol abuse presented to the emergency department with a 1-day history of confusion, epigastric pain and dyspnea following excessive alcohol ingestion for 3 days. Vital signs were temperature 36.7º C, BP 137/78 mmHg, pulse 125 /min, respiratory 28 /min, and SpO2 96% on ambient air. She appeared […]