Global Grand Rounds in ID (2019-10-23)

59 year old man with history of fever and  weight loss  for 4 weeks, severe headache, vomiting, slurring of speech, right hemiparesis for 2 weeks.

 

59 year old man who presents in March 2019 with:

• 
  Intermittent high grade fever with chills for 4 weeks.
• 
  Severe holocranial headache (started 2 weeks after onset of fever) radiating to neck and worsens on exposure to light.
• 
  Vomiting, non bilious, non projectile for 2 weeks.
• 
  Slurring of speech and weakness of right side of body started 2 weeks after the onset of fever and has gradually worsened over time.
• 
  Loss of weight (6 kg over 2 months)