Case Presentation: A 9-year-old male with 5-day history of headache, fever, somnolence, red eyes and fatigue presented to the ED due to concern for Kawasaki disease. In the ED, frontal headache, fever, photophobia, and neck pain were noted raising concern for meningitis. Screening MRI brain did not demonstrate acute intracranial abnormality, but did show sinus [...]

Case Presentation: A 54-year-old male was referred to our hospital with a headache and left ophthalmalgia since a few weeks. The patient had a 6-month-old history of odontalgia and gingivalgia, but lived an otherwise healthy lifestyle. Physical examination revealed left conjunctival hyperemia, periorbital swelling, and vertical diplopia. In addition, contrast-enhanced head computed tomography (CT) and [...]

Case Presentation: A 65-year-old female with a history of sphenoid sinusitis status post recent fiberoptic endoscopic sinus surgery presented with one week of neck stiffness and two days of fever, headache, photosensitivity, and diplopia. Vital signs were: temperature 102.6, heart rate 82, respiratory rate 20, blood pressure 122/45 and 95% room air O2 saturation. Physical [...]

Case Presentation: A 20-year-old male presented with a one-week history of high fevers, headaches and nasal congestion, and he was diagnosed with Covid-19. Over the following three days, he developed left eye proptosis, altered mental status and photophobia. Prior to infection, the patient was in good health, did not smoke and had no family history [...]

Case Presentation: A 51 year old female with a history of schizophrenia, COPD, and obstructive sleep apnea presented to hospital with complaints of generalized fatigue and acute onset of right-sided extremity weakness. The patient’s family members noted progressive lethargy and confusion on the day of admission. Family members reported the patient’s difficulty with ambulation and [...]

Case Presentation: A 75-year-old man with a past history of diverticulitis was admitted five days prior for a small bowel obstruction (SBO). At the time of admission, he had a sore throat and nasal congestion, and a respiratory pathogen panel was positive for RSV. On admission, a nasogastric tube (NG) was placed for decompression with [...]

Case Presentation: A 73-year-old female with a history of hypertension and migraines presented to the ER with nausea, headache, and photophobia. She underwent CTA which showed a small right ICA aneurysm with no other acute abnormalities. She was treated and released but returned to the ER the next day with worsening symptoms. LP was unremarkable. [...]

Case Presentation: A 32-year-old man with alcohol use disorder complicated by delirium tremens, who initially presented with left ankle pain, was later found to have septic arthritis. He was admitted to the ICU for alcohol withdrawal, altered mental status (AMS), and sepsis in the setting of septic arthritis, with gram-positive cocci identified on ankle aspiration. [...]