Case 1-1999

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Abstract
Presentation of CaseA 53-year-old right-handed man was admitted to the hospital in December because of fever and an altered mental state.The patient had been well until two weeks earlier, when a cough and rhinorrhea developed. Three days before admission, he became lethargic, febrile, and forgetful. On the day before admission, he slept all evening and missed dinner. On the morning of admission, he was barely responsive. He was taken to another hospital, where a lumbar puncture was performed (Table 1). Ceftriaxone was administered, and he was transferred to this hospital.The patient worked in a sedentary occupation. He . . .