Case Presentation: A 72-year-old HIV-negative male with a past medical history of neurosyphilis who received two complete 2-week regimens of IV Penicillin G and one IM Penicillin, was admitted due to a recurrence of blurry vision and gait instability. The patient’s symptoms started with dizziness noted since last year, which then progressed to gait instability [...]

Case Presentation: A 41-year-old male with a history of intravenous drug use presented with status epilepticus. His seizures were preceded by episodic catatonia, hallucinations, and paranoia over the last two months. He was intubated and admitted to the ICU for evaluation of acute encephalopathy and seizures. Collateral history revealed absence of fevers or headache, and [...]

Case Presentation: A 48 y/o man with history of chronic methamphetamine use, schizophrenia, and bipolar disorder presented after being found unconscious associated with urinary incontinence. He was treated for toxic metabolic encephalopathy in setting of sepsis from urinary tract infection and multifocal pneumonia. However, his mental status declined despite initiation of antibiotics. He was alert [...]