Clinical Reasoning: The “Great Imitator”

Clinical Reasoning: The “Great Imitator”

A 69-year-old man presented with 1 week's history of sweating, confusion, drowsiness, and vomiting. He complained of "burning fumes" olfactory hallucinations. He had hiccups and his wife had witnessed limb jerking. He had a history of paroxysmal atrial fibrillation, hypertension, hype...

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Veröffentlicht in:Neurology 2014-11, Vol.83 (22), p.e188-e196
Hauptverfasser: Karsan, Nazia, Barker, Robert, OʼDwyer, John Philip
Format: Artikel
Sprache:eng
Schlagworte:
Aged
Diagnosis, Differential
Humans
Male
Neurosyphilis - diagnosis
Neurosyphilis - psychology
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Zusammenfassung:A 69-year-old man presented with 1 week's history of sweating, confusion, drowsiness, and vomiting. He complained of "burning fumes" olfactory hallucinations. He had hiccups and his wife had witnessed limb jerking. He had a history of paroxysmal atrial fibrillation, hypertension, hyperlipidemia, and type 2 diabetes mellitus.
ISSN:0028-3878
1526-632X
DOI:10.1212/WNL.0000000000001033