Case Presentation: Lyme disease a multisystem disease, occurring globally is caused by the spirochete borrelia burgdorferi and transmitted by the Ixodes tick.(6) The incidence of Lyme carditis (LC) is rare with reported incidences of 4%- 10% but recent studies showing 0.3% to 4% with high grade AV block is the most common presentation.(5,2) We present [...]

Case Presentation: A 22-year-old female was admitted with a 5-day history of bilateral lower extremity weakness. She received influenza vaccination five weeks prior to the presentation. The patient progressed rapidly over days to quadriplegia and respiratory failure requiring intubation and mechanical ventilation. The cerebrospinal fluid analysis showed albuminocytological dissociation, and nerve conduction studies revealed an [...]

Case Presentation: A previously healthy 25-year-old woman presented with 3 weeks of headache. Headaches were bilateral, daily, of a severe squeezing quality, and were described as the worst pain of her life. She reported associated fever to 102°F, pressure behind her eyes, photophobia, neck stiffness, nausea, and vomiting. Temperature was 99.7°F, heart rate 99 beats [...]

Case Presentation: A 67-year-old female presented with three days of fever, chills, and generalized weakness. She also had myalgia, epigastric pain, darker urine. She reported no recent travel but reported spending time outside gardening and walking/hiking in the woods with dogs, although she did not recallany tick bites. She had a fever of 104 °F, [...]

Case Presentation: A 37-year-old male with anxiety presented to the ED in Maine after a week of warmth and irritability, followed by sudden onset nausea and vomiting, epigastric and chest pain with left shoulder radiation, and palpitations. He denied COVID exposures, loss of taste or smell, shortness of breath, dysphagia, changes in weight, or skin [...]

Case Presentation: A 54-year-old woman presented with severe neck pain and high fevers starting three weeks after spending a weekend in Burlington, Wisconsin. She had a wide breadth of symptoms including Bell’s palsy, shooting leg pain, arm weakness, tinnitus, jaw tightness, feeling like she had “sand in her eye,” and episodes of mental lucidity with [...]