Case Presentation: A 35 year-old undomiciled male with a history of epilepsy and recurrent aseptic meningitis was brought in to the emergency department after being found unresponsive. Initial vital signs were notable for temperature of 102˚F. He was intubated in the emergency department and a lumbar puncture was done consistent with a bacterial meningitis (WBC [...]

Case Presentation: A 60-year-old female with a history of hypertension, hyperlipidemia, migraines, and HSV-meningitis in 2004 presented with 3 days of progressively worsening bitemporal headache with associated neck stiffness and photophobia. The symptoms were not typical of her usual migraines. A few days prior she had an acute upper respiratory illness with productive cough of [...]

Case Presentation: A 42-year-old female with a past medical history of hereditary angioedema, hypertension, and asthma presented to the emergency department with sudden onset weakness and numbness in the right upper and lower extremities, coupled with a posterior “pressure-like” headache. On presentation, she was non-febrile, hypertensive at 169/92 mmHg with a regular heart rate (80 [...]

Case Presentation: A 39-year-old female with a history of primary sclerosing cholangitis status post-liver transplant in 1986 on cyclosporine, ankylosing spondylitis, Monoclonal gammopathies with undetermined significance, and migraines presents with progressive headaches, fevers (up to 101 F), and neck stiffness over the past 2 weeks. She was found to have photophobia, meningismus, and a positive [...]

Case Presentation: A 53-year-old female elementary school teacher with a history of genital herpes and aseptic viral meningitis presented with two days of severe headache, neck stiffness, fever, nausea, vomiting, bilateral leg weakness and back pain. Her headache was sudden, severe (10/10) and diffuse, progressed to neck stiffness and was associated with photophobia, fever, chills [...]