Statistics from Altmetric.com
A 65-year-old Caucasian man with type 2 diabetes mellitus presented to the emergency department with subacute altered mental status, preceded by a 2-month history of progressive weight loss, anorexia and fever. He was febrile with a temperature of 38.5°C, but general medical examination was otherwise normal. He was disorientated with cognitive slowing, with no meningism or focal signs. CT scan of head was normal. Cerebrospinal fluid (CSF) examination showed a normal opening pressure (18 cm H2O), lymphocytic pleocytosis (73 cells/µL), glucose 2.9 mmol/L (26% of glycaemia), and protein 0.93 g/L. CSF smear found no organisms on Gram or Ziehl–Neelsen stain. We started empirical treatment for meningoencephalitis with intravenous ampicillin, ceftriaxone and acyclovir, but there was no clinical improvement in the following days.
MR scan of brain showed scattered white …
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.