Case Presentation: A 49-year-old male with a history of type 1 diabetes mellitus, end stage renal disease, status post pancreas-kidney transplant maintained on tacrolimus and mycophenolate mofetil, who presented with a three-day history of fever, tension like headache, nausea, and non-bloody emesis. He denied exposures to pets, including cats. Laboratory values were significant for elevated [...]

Case Presentation: A 59-year-old male with a history of Factor V Leiden and BPH presented with three weeks of worsening left flank pain accompanied by intermittent fevers and fatigue. He also endorsed a history of persistent fevers a few months ago which resolved without treatment. The patient immigrated 30 years ago from rural Italy, and [...]

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 62-year-old man presented with progressive lower back pain for six months’ duration. He noticed significant weight loss, occasional sweats, and subjective fevers. No significant neurological symptoms or any other significant complaints. Patient lives mainly in Texas, but goes to Mexico during winter time for a couple of months. He denied tobacco abuse, [...]