Case 34-2021: A 38-Year-Old Man with Altered Mental Status and New Onset of Seizures

Case 34-2021: A 38-Year-Old Man with Altered Mental Status and New Onset of Seizures

A 38-year-old man was evaluated in the emergency department because of altered mental status and a first seizure. Examination revealed an involuntary upward gaze and confusion. Laboratory evaluation revealed leukocytosis and lactic acidosis. A diagnosis was made.

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Bibliographische Detailangaben
Veröffentlicht in:The New England journal of medicine 2021-11, Vol.385 (20), p.1894-1902
Hauptverfasser: Cole, Andrew J, Slutzman, Jonathan E, Ryan, Edward T, Lev, Michael H, Eng, George
Format: Artikel
Sprache:eng
Schlagworte:
Acidosis
Bacterial infections
Benzodiazepines
Case reports
Clinical Practice
Consciousness
Convulsions & seizures
Drug dosages
Emergency medical care
Emergency Medicine
Emergency Medicine General
Hospitalist
Infectious Disease
Laboratories
Lactic acidosis
Leukocytosis
Magnetic resonance imaging
Mens health
Neurology
Neurosurgery
Neurosurgery General
Parasitic Infections
Patients
Primary Care
Seizures
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Beschreibung
Zusammenfassung:A 38-year-old man was evaluated in the emergency department because of altered mental status and a first seizure. Examination revealed an involuntary upward gaze and confusion. Laboratory evaluation revealed leukocytosis and lactic acidosis. A diagnosis was made.
ISSN:0028-4793
1533-4406
DOI:10.1056/NEJMcpc2027080