Clinical Reasoning: A 64-Year-Old Man With Confusion, Nausea, Seizure, and Fever.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 40479630.
- Also identified by DOI 10.1212/WNL.0000000000213659.
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Abstract
Evaluating patients with encephalitis is common, but it can be complicated in immunocompromised patients. In this case, a 64-year-old man with a medical history of multiple myeloma and previous Lyme disease presented with acute onset of confusion, nausea, and fever; developed generalized tonic-clonic seizures; and subsequently became comatose. This case highlights the importance of thinking broadly beyond common viral and bacterial encephalitides and developing a comprehensive differential diagnosis.
Medical subject headings
- Confusion
- Fever
- Seizures
- Nausea
- Clinical Reasoning
- Encephalitis