NYMC Faculty Publications
Clinical Reasoning: A 64-Year-Old Man With Confusion, Nausea, Seizure, and Fever
Author Type(s)
Resident/Fellow, Faculty
DOI
10.1212/WNL.0000000000213659
Journal Title
Neurology
Document Type
Article
Publication Date
6-6-2025
Department
Neurology
Disciplines
Medicine and Health Sciences
Abstract
Evaluating patients with encephalitis is common, but it can be complicated in immunocompromised patients. In this case, a 64-year-old man with a medical history of multiple myeloma and previous Lyme disease presented with acute onset of confusion, nausea, and fever; developed generalized tonic-clonic seizures; and subsequently became comatose. This case highlights the importance of thinking broadly beyond common viral and bacterial encephalitides and developing a comprehensive differential diagnosis.
Recommended Citation
Xu, Z., Khan, S., Ali, A., Park, T., Yu, F., Rosenberg, J., & Al-Mufti, F. (2025). Clinical Reasoning: A 64-Year-Old Man With Confusion, Nausea, Seizure, and Fever. Neurology, 105 (1). https://doi.org/10.1212/WNL.0000000000213659
