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Progressive weakness and intermittent low-grade fever in a Libyan man
  1. James Milburn1,
  2. David Shatti2,
  3. Hadi Manji3,
  4. Alex Everitt4
  1. 1Royal Brompton Hospital, Royal Brompton and Harefield NHS Foundation Trust, London, UK
  2. 2University Hospitals Bristol NHS Foundation Trust, Bristol, UK
  3. 3National Hospital for Neurology and Neurosurgery, UCHL NHS Trust, London, UK
  4. 4St Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK
  1. Correspondence to Dr James Milburn, Royal Brompton Hospital, Royal Brompton and Harefield NHS Foundation Trust, London SW3 6NP, UK; james.milburn1{at}


We present a diagnostically challenging case of a 61-year-old man presenting with progressive weakness and intermittent low-grade fever.

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  • Contributors JM authored the manuscript with contributions from DS. HM reviewed the manuscript and suggested changes. AE oversaw the paper and made corrections and changes throughout.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed. This paper was reviewed by Nicholas Davies, London, UK.

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