Hey folks, just a quick reminder that this episode is now meant to be used for medical advice, just good old-fashioned education.

All patient information has been modified to protect their identity and the views expressed in our podcast do not necessarily reflect the opinion of our employers.

Welcome back, clinical problem solvers.

I'm Shanty Capagoda, a clinical associate professor of infectious diseases at Stanford Medical School,

where I work primarily on our ICU ID consult service.

And I also have a clinic where I see adults with infectious diseases.

I'm very excited for today's episode.

And I'm here today with Sam.

Hi, everyone.

I'm Sam.

I'm a third year resident at Methodist Dallas in Dallas in internal medicine.

And I'm originally from McAll in Texas.

I landed in Dallas for residency. And I'm excited to be on CP Solvers tonight and I hope I can make my mom proud. I'm here today

with Michael Voo. Hey everyone. My name is Michael Voo. I'm a new P.I.2 in internal medicine at Methodist

Dallas. I'm born and raised in Dallas, and in my free time,

I love to eat ice cream, try trendy coffee shops, and I'd like to call myself an amateur power lifter.

Jack, what do we have in store today? Thank you so much, Sam, Mike Wanchanti. Hello, everybody.

It's great to be here with you all again. My name is Jack. I'm one of the

team members of the clinical problem solvers. And I'm delighted to be back with this team today for

another clinical unknown in collaboration with the human diagnosis project and the CPU solvers.

I am sure that we have a fantastic case in order today. As you all know, I am blinded to the case as are

Sam and Michael. And so as we discuss the case together tonight that Shantfi presents, we encourage

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