A 75 year-old American passenger was transferred to our hospital, infected in Diamond Princess, with pneumonia due to COVID-19 infection. At the beginning, he walked in but on day 4, he needed intubation and mechanical ventilation support because of worsening respiratory function due to wide-spread pneumonia. Despite the ventilation, his respiratory condition did not improve due to his left lower lobe atelectasis by an obstruction of left main bronchus. On day 9, interventional drainage of the major bronchus by disposable bronchoscopy was performed and built-up cast was removed by suctioning under the endoscopy. After the procedure, respiratory condition remarkably improved and he was extubated on day 14. COVID-19 infection with severe acute respiratory failure need mechanical ventilation support and if major airway obstruction was suspected, immediate interventional drainage may drastically change the patient clinical course and outcome.

We present the case of a patient with granulomatosis with polyangiitis (GPA) treated with rituximab, who was diagnosed with coronavirus disease 2019 (COVID-19). Following an index hospitalization with apparent resolution of the infection, the patient was readmitted with clinical deterioration. While repeat serial real-time polymerase chain reaction (rt-PCR) from nasopharyngeal swabs were negative, a bronchoalveolar lavage (BAL) sample demonstrated persistent COVID-19 to be the etiologic factor. Administration of convalescent plasma led to remarkable recovery.

We describe a case of infectious spondylodiscitis of the lumbar spine complicated by epidural and bilateral psoas abscesses which started with subtle symptoms and a non-specific clinical picture. Diagnosis is based on clinical, laboratory and radiological features. It can be difficult and often delayed due to the rarity of the disease and the high frequency of low back pain in the general population. Our aim is to raise awareness for the possibility of specific low back pain which requires quick and indispensable action from the physician.

Amiodarone is one of the most frequently used antiarrhythmic drugs on the market, treating both life-threatening ventricular arrhythmias as well as supraventricular tachyarrhythmias. Some of its most commonly known side effects include corneal deposits, cardiac toxicity, pneumonitis, thyroid hormone fluctuation, and dermatological reactions. Despite the frequency of occurrence of neurological complications secondary to Amiodarone they remain to be under-recognized by healthcare professionals. This case report aims to increase awareness of the neurological complications of Amiodarone.

An occlusion of the artery of Percheron (AOP) is a rare clinical condition that remains a diagnostic challenge for physicians given its variable presentation. This infarction is a result of an anatomical variant of a single vessel arising from the posterior cerebral artery. Occlusion of the AOP results in variable levels of alteration of consciousness, vertical gaze palsy, and memory impairment. Unfortunately, due to this variable presentation these strokes are often missed. We report a case of a 71 year-old-female who presented with sudden onset of unresponsiveness who was subsequently diagnosed with bilateral thalamic infarction with midbrain involvement secondary to AOP occlusion. Delayed diagnosis can result in poor neurologic outcomes as demonstrated in this case making it imperative to bring further awareness to this clinical syndrome.