Case Presentation: A 81 year-old Caucasian male presented to the emergency department with fever and altered mental status for two days. Further chart review revealed history of nausea, vomiting, myalgias, abdominal pain, and unintentional 35 pound weight loss over the six months prior. At the time of admission the patient was lethargic, febrile and tachycardic. [...]

Case Presentation: A 77-year-old woman with a significant health history including metabolic syndrome, chronic obstructive pulmonary disease, ischemic cardiomyopathy, stage III chronic kidney disease and a recently diagnosed SARS-CoV-2 infection. She presented with sepsis and cardiorenal syndrome. On arrival, she was in acute respiratory distress with severe metabolic and respiratory acidosis, and in oliguric state, [...]

Case Presentation: A 60 year-old women with hypertension, coronary artery disease, COPD and gastroesophageal reflux, presented with one-day history of fever, witnessed tonic clonic seizure, confusion and lethargy. She reported headache for a month with back pain. Vital signs revealed fever 40 °C, tachycardia 128/min, tachypnea 32/min, and oxygen saturation of 100% on 2 L [...]

Case Presentation: A 55 yo male with past medical history significant for metastatic renal cell carcinoma with no clinical evidence of residual disease on maintenance pembrolizumab, alcohol abuse, hypertension, and chronic obstructive pulmonary disease, presented after a fall with unknown loss of consciousness and head trauma. His condition progressed to acute encephalopathy with sepsis, multiorgan [...]

Case Presentation: Anti-NMDA Receptor Encephalitis is an uncommon diagnosis disguised behind the more common chief complaint of altered mentation. Although treatment options have been established for this disease, management of its behavioral manifestations remains complex. Here we discuss a 13-year-old female who presented with acute-onset altered mental status and atypical behavior. At symptom onset, a [...]