Case Presentation: A 56-year-old immunocompetent man with history of inhaled methamphetamine use, poor dentition and recent all-terrain vehicle (ATV) accident requiring chest tube, presented with 1 week of progressive hallucinations, who was found to have multiple ring enhancing brain lesions. Initially, he was afebrile with normal vitals, minimally responsive to noxious stimuli and moving all [...]

Case Presentation: A 68-year-old gentleman status- post craniotomy for meningioma resection 3 weeks ago was brought to the ER with complaints of 1 episode of fever (101 F) associated with weakness, decreased appetite and a decline in functional capacity. Blood cultures were obtained, a CT brain was ordered which ruled out acute pathology and the [...]

Case Presentation: A 68-year-old male with a pituitary adenoma resected 6 months ago complicated by panhypopituitarism on oral hydrocortisone, presented to the ED with acute progressive altered mental status, headache, and fatigue. On the day of presentation, he became confused to the point where he could not dress himself. Vitals were significant for HR 98. [...]

Case Presentation: A 78 year old previously healthy male presented to the hospital with 1 week of worsening confusion, shuffling gait, headache, and diarrhea. On admission, he was only oriented to person with no focal neurological deficits. Initial vitals were significant for a temperature of 49.2 oC. Imaging on admission including a chest x-ray, CT [...]