Case Presentation: A 54-year-old female with a history of alcohol abuse and anxiety was admitted for 1 month of progressive altered mental status preceded by visual hallucinations. Over that time period, her symptoms rapidly progressed to agitation, dementia, and personality change. Physical symptoms included left elbow rigidity, startle myoclonus, and gait ataxia. Laboratory workup was [...]

Case Presentation: A 63-year-old male with a medical history of hypertension presented with progressive vision loss over four months, with a one-month history of diffuse myalgias, increasing agitation, and altered behavior. He was an avid hunter with a history of frequent tick and deer fly bites. He presented to the emergency department with his wife [...]