Case Presentation: 38-year-old healthy female presented with left sided facial droop, dyspnea on exertion and rash. Weeks before, she had myalgias, subjective fevers and fatigue. Days prior to presentation, she developed bilateral lower extremity edema, a mildly pruritic leg rash, and exertional dyspnea. The day of admission, she developed left sided facial droop. Exam revealed [...]

Case Presentation: The day before his wedding, a 22-year-old male presented to the emergency department with one week of worsening joint pain, myalgias, headache, and rash. Symptoms began weeks after visiting a park in Michigan and several days after walking in tall grass during his bachelor party in Iowa. He presented to the emergency department [...]