A 64-year-old woman, Mrs. Sharmila is brought to the emergency room, with a 3-day history of fever, worsening confusion, agitation, and disorientation. Her husband says that he also noticed drooping of her mouth on the left side, since this morning and immediately rushed her to the hospital. She has no other significant past history and no recent foreign travel. Examination reveals a pulse rate of 90 per minute, BP of 142/90 mm of Hg, and a temperature of 100.3F. She is drowsy and agitated but is able to follow directions. She has some neck rigidity. Weakness is present on the left side of the face with drooping of the angle of the mouth, inability to close her eyelids, and inability to furrow her forehead on the same side. The rest of the neurological examination is normal. CSF tap is performed and the lab results are attached below. What is the most likely causative agent in this condition
A 64-year-old woman, Mrs. Sharmila is brought to the emergency room, with a 3-day history of fever, worsening confusion, agitation, and disorientation. Her husband says that he also noticed drooping of her mouth on the left side, since this morning and immediately rushed her to the hospital. She has no other significant past history and no recent foreign travel. Examination reveals a pulse rate of 90 per minute, BP of 142/90 mm of Hg, and a temperature of 100.3F. She is drowsy and agitated but is able to follow directions. She has some neck rigidity. Weakness is present on the left side of the face with drooping of the angle of the mouth, inability to close her eyelids, and inability to furrow her forehead on the same side. The rest of the neurological examination is normal. CSF tap is performed and the lab results are attached below. What is the most likely causative agent in this condition
Chapter14: Allergy: An Overview
Section: Chapter Questions
Problem 25RQ
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10. A 64-year-old woman, Mrs. Sharmila is brought to the emergency room, with a 3-day history of fever, worsening confusion, agitation, and disorientation. Her husband says that he also noticed drooping of her mouth on the left side, since this morning and immediately rushed her to the hospital. She has no other significant past history and no recent foreign travel. Examination reveals a pulse rate of 90 per minute, BP of 142/90 mm of Hg, and a temperature of 100.3F. She is drowsy and agitated but is able to follow directions. She has some neck rigidity. Weakness is present on the left side of the face with drooping of the angle of the mouth, inability to close her eyelids, and inability to furrow her forehead on the same side. The rest of the neurological examination is normal. CSF tap is performed and the lab results are attached below. What is the most likely causative agent in this condition?
Transcribed Image Text:10. A 64-year-old woman, Mrs.
Sharmila is brought to the emergency
room, with a 3-day history of fever,
worsening confusion, agitation, and
disorientation. Her husband says that
he also noticed drooping of her mouth
on the left side, since this morning
and immediately rushed her to the
hospital. She has no other significant
past history and no recent foreign
travel. Examination reveals a pulse rate
of 90 per minute, BP of 142/90 mm
of Hg, and a temperature of 100.3F.
She is drowsy and agitated but is able
to follow directions. She has some
neck rigidity. Weakness is present on
the left side of the face with drooping
of the angle of the mouth, inability
to close her eyelids, and inability
to furrow her forehead on the same
side. The rest of the neurological
examination is normal. CSF tap is
performed and the lab results are
attached below. What is the most likely
causative agent in this condition?
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