A 34-year-old man with facial droop and dysarthria

Ahmed Abdel Latif, MD
Department of Internal Medicine, The Cleveland Clinic

Hani Jneid, MD
Division of Cardiology, University of Louisville, KY

Carlos M. Isada, MD
Department of Infectious Diseases, The Cleveland Clinic

Gary S. Francis, MD
Director, Coronary Intensive Care Unit, Department of Cardiovascular Medicine, The Cleveland Clinic

Address: Carlos M. Isada, MD, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195; e-mail: isadac@ccf.org

Ahmed Abdel Latif, MD
Department of Internal Medicine, The Cleveland Clinic

Hani Jneid, MD
Division of Cardiology, University of Louisville, KY

Carlos M. Isada, MD
Department of Infectious Diseases, The Cleveland Clinic

Gary S. Francis, MD
Director, Coronary Intensive Care Unit, Department of Cardiovascular Medicine, The Cleveland Clinic

Address: Carlos M. Isada, MD, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195; e-mail: isadac@ccf.org

Ahmed Abdel Latif, MD
Department of Internal Medicine, The Cleveland Clinic

Hani Jneid, MD
Division of Cardiology, University of Louisville, KY

Carlos M. Isada, MD
Department of Infectious Diseases, The Cleveland Clinic

Gary S. Francis, MD
Director, Coronary Intensive Care Unit, Department of Cardiovascular Medicine, The Cleveland Clinic

Address: Carlos M. Isada, MD, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195; e-mail: isadac@ccf.org