A 41-year-old woman from Austin, TX, presented with a new-onset generalized seizure that lasted for 3 min. In the emergency department, she had no respiratory, cardiac, or GI symptoms. She gave a history of extensive travel to Central and South America, with the most recent trip having taken place 4 months earlier to a chicken farm in Panama. Her medical history was significant for hypothyroidism, and the only medication she was receiving was levothyroxine sodium (Synthroid; Abbott Laboratories; Abbott Park, IL). She had received the bacillus Calmette-Guerin vaccine as a child and had exposure to tuberculosis at the age of 12 years from a family member.