Jonathan Howard, MD

A 24-year-old Guyanese man presented with a 3-month history of personality changes, abulia, headaches, nausea and vomiting.

A 51-year-old woman with a history of coronary artery disease who had a renal transplant 4 years prior for IgA nephropathy and was on immunosuppression medication when she presented to the clinic with complaints of acute on chronic low back pain. She reported an insidious onset of pain approximately 1 year prior, and denied a history of trauma or falls.