A 62-year-old woman with known hypertension was recently treated for typhoid and admitted in the ICU with GCS of E4VtM2.
Case of the Week Archive
Section Editors: Matylda Machnowska1 and Anvita Pauranik2
1University of Toronto, Toronto, Ontario, Canada
2University of British Columbia, Vancouver, British Columbia, Canada
A 35-year-old man with HIV presented with a 20-year history of fever and persistent vomiting and right-sided weakness for 3 days. His CD4 count was 24 cells/mm3 and CSF examination revealed high protein (559 mg/dL), reduced glucose (21 mg/dL), normal chloride level (111 mmol/L), and many lymphomononuclear cells (60%) and neutrophils (40%) with few RBCs.
A 2-day-old neonate with hypotelorism, limb malformations, low ear implantation, cleft lip, and cleft palate
A 60-year-old asymptomatic man with a history of HIV and persistently low CD4 counts presents for follow-up of abnormality on lung screening CT.
A 50-year-old woman with learning difficulties since childhood and behavioral changes since adolescence presented with acute left hemiparesis and ataxia at 41 years old. Progressive cognitive decline, motor impairment, and epileptic seizures ensued. Family history was irrelevant.
A 16-year-old girl with mixed conductive/sensorineural hearing loss of the right ear and “bumps” in the left ear canal
A 26-year-old man with a history of 1 episode of loss of awareness of surroundings
A 40-year-old man with progressive bilateral hearing loss, on-and-off fever for 1 year, and 1 episode of confusion
A 60-year-old man with vertigo; clinical concern for cerebrovascular accident (CVA)
A 2-year-old boy with prenatal diagnosis and fetal surgery of myelomeningocele and Chiari type 2 syndrome; patient comes for control evaluation imaging without symptoms