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Previous Volume 351:69-73 July 1, 2004 Number 1 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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In this Journal feature, information about a real patient is presented in stages (boldface type) to an expert clinician, who responds to the information, sharing his or her reasoning with the reader (regular type). The authors' commentary follows.

A 39-year-old Sri Lankan male physiotherapist presented to an emergency department in Toronto with a three-day history of headache, chills, diarrhea, nausea, vomiting, and neck stiffness. He reported having had vertigo, left-sided facial paresthesia, incoordination, and dysarthria, which had lasted for several minutes at the onset of his illness. These symptoms disappeared and were followed by the other symptoms noted above. His . . . [Full Text of this Article]

Commentary

Source Information

From the Departments of Medicine (M.D.C., A.S.D.) and Health Policy, Management, and Evaluation (A.S.D.), University of Toronto; and the Departments of Medicine at Mount Sinai Hospital and University Health Network (M.D.C., A.S.D.) — all in Toronto.

Related Letters:

Ciguatera Poisoning
Selcer U. M., Christian M. D., Detsky A. S.
Extract | Full Text | PDF  
N Engl J Med 2004; 351:2020, Nov 4, 2004. Correspondence

This article has been cited by other articles:

• Selcer, U. M., Christian, M. D., Detsky, A. S. (2004). Ciguatera Poisoning. NEJM 351: 2020-2020 [Full Text]