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Previous Volume 341:1996-2003 December 23, 1999 Number 26 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 74-year-old woman was admitted to the hospital because of diarrhea and fever followed by multiple cranial-nerve palsies.

She had a one-week history of fever (temperature, 40°C), watery diarrhea, nausea, abdominal pain, weakness, and fatigue. Her physician prescribed diphenoxylate hydrochloride–atropine sulfate. At 9 p.m. on the day before admission, the patient was speaking normally. She later applied a benzocaine–eugenol preparation to her gingiva because of several hours of dental pain. At 3 a.m. on the next day, her speech became severely slurred.

The patient was taken to another hospital. She was able to drink water and to walk satisfactorily. She . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnoses

Dr. Allan H. Ropper's Diagnoses

Pathological Discussion

Anatomical Diagnoses

References

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