Case 26-2003

Presentation of Case A 50-year-old man was admitted to the hospital because of fever, a seizure, and confusion. The patient was a native of Colombia who had traveled to the United States six weeks before admission to visit relatives. Two weeks before admission, he had had a respiratory infection characterized by sore throat, coryza, and fever. Three days before admission, fever, headache, and dizziness developed, and his family observed progressive confusion. One day before admission, his wife noticed that he appeared pale and then “blue” and then lost consciousness for 10 to 15 minutes, during which time he made extension . . .