Case history
Case history #1
A 72-year-old woman with rheumatoid arthritis who is known to have misused alcohol for the last 20 years presents after a 10-minute generalised seizure with impaired consciousness and a partial right cranial nerve palsy with obvious deviation of the eye outward and downward. She had recently received infliximab for a flare of her rheumatoid arthritis.
Case history #2
An 18-year-old male student presents with severe headache and fever that he has had for 3 days. Examination reveals fever, photophobia, and neck stiffness.
Other presentations
Atypical clinical manifestations tend to occur in older or immunocompromised patients.[1] In older adults, often the only presenting sign of meningitis is confusion or altered mental status.
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