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Previous Volume 340:127-135 January 14, 1999 Number 2 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

A 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.

View this table: [in this window] [in a new window]   Table 1. Findings on Lumbar Puncture.

 
The patient worked in a . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Timothy K. Vartanian's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References

Related Letters:

Case 1-1999: Acute Hemorrhagic Leukoencephalitis
Nachamkin I., Zünkeler B., Chaudhuri A., Behan P. O., Young A. B., Vartanian T.
Extract | Full Text  
N Engl J Med 1999; 341:1314-1316, Oct 21, 1999. Correspondence

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