Clinical problem-solving: Fever and rapidly progressive weakness in an immunocompromised patient

Asher J. Albertson, Alexander R. Dietz, John R. Younce, Arun S. Varadhachary

Research output: Contribution to journalArticlepeer-review

Abstract

Here we report the challenging case of a 41-year-old man with HIV complicated by AIDS and a history of prior neurologic injury from progressive multifocal leukoencephalopathy who presented with headache, fevers, lower extremity weakness, hyperreflexic upper extremities, and diminished lower extremity reflexes. We review the clinical decision-making and differential diagnosis for this presentation as the physical examination evolved and diagnostic testing changed over time.

Original languageEnglish
Pages (from-to)194-198
Number of pages5
JournalNeurohospitalist
Volume8
Issue number4
DOIs
StatePublished - Oct 2018

Keywords

  • HIV
  • Spinal cord diseases
  • West nile virus

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