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Volume 32 (January - April 2019)

An 18-year-old man was admitted to our Institution because of dysarthria, lethargy and fever for 2 days. His medical history was marked by chronic otitis media badly treated by self-medication with several antibiotics. The first clinical examination revealed an increased body temperature of 37.6C, heart rate of 82 beats per minute, blood pressure 140/74mmHg and respiratory rate of 18 breaths/minute. He was disorientated, his cranial nerves were intact and his pupils were reactive, round and equal. His white cell count was 6,620 per μL. His hemoglobin was 11.1g/dL and C-reactive protein was 80mg/L. What is your diagnosis?

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ISSN: 1937-8688. © 2019 - Pan African Medical Journal. All rights reserved