Case 26-2003 - A 50-Year-Old Colombian Man with Fever and Seizures

doi:10.1056/NEJMcpc030020

Volume 349:789-796		August 21, 2003		Number 8

Case 26-2003 — A 50-Year-Old Colombian Man with Fever and Seizures

Clyde S. Crumpacker, M.D., R. Gilberto Gonzalez, M.D., Ph.D., and Robert S. Makar, M.D., Ph.D.

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Presentation of Case

A 50-year-old man was admitted to the hospital because of fever,a seizure, and confusion.

The patient was a native of Colombia who had traveled to theUnited States six weeks before admission to visit relatives.Two weeks before admission, he had had a respiratory infectioncharacterized by sore throat, coryza, and fever. Three daysbefore admission, fever, headache, and dizziness developed,and his family observed progressive confusion. One day beforeadmission, his wife noticed that he appeared pale and then "blue"and then lost consciousness for 10 to 15 minutes, during whichtime he made extension and flexion movements . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Clyde S. Crumpacker's Diagnosis

Pathological Discussion

Discussion of Management

Pathological Diagnosis

Source Information

From the Department of Medicine, Infectious Disease Division, Beth Israel Deaconess Medical Center (C.S.C.); the Department of Radiology, Division of Neuroradiology (R.G.G.), and the Department of Pathology (R.S.M.), Massachusetts General Hospital; and the Departments of Medicine (C.S.C.), Radiology (R.G.G.), and Pathology (R.S.M.), Harvard Medical School — all in Boston.