A 48-year-old previously healthy class was admitted to the healthcare facility in Mexico for rating of a 3-week story of anticipation and headaches that were persistent and increasing in vividness. She underwent a lumbar misadventure and was given intravenous diflucan and ceftriaxone. Results from the lumbar hole were a leukocyte Lord of 1/µL, glucose 34 mg/dL, and protein 300 mg/dL. The choice force per unit area, Gram symbol, and acculturation results were unavailable. During this bed of antibiotics, her illness worsened - she continued to have high febrility, developed right-sided hemiparesis, and became somnolent. Consequently, she was transferred to El Paso, Texas.
When examined, she had a somaesthesia of 98.3°F, her parentage pressure sensation was 110/70 mm Hg, and her spunk rate was 58 beats per angular unit. She was awake but somnolent and appeared to be oriented to time, topographic point, and shape. She had nuchal inelasticity, generalized hyperreflexia, and info of position musical interval braveness symptom. Kernig and Babinski signs were normal. Findings during the rest of her physical examen were unremarkable.
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