A 51-year-old male with past medical history of hypertension, hyperlipidemia, and coronary artery disease presents to the emergency room with complaints of palpitations, profuse sweating, and a stiff neck for the last two days.

by | May 16, 2022 | Infectious Disease

His symptoms have gradually progressed. He denies any similar episodes in the past, sick contacts, or recent travel. On the physical exam, you notice a bandage on the plantar aspect of his right foot. When inquired, he states that he stepped on an old nail while...