A 70-year-old patient with stable vital signs suddenly lost her memory and experienced altered mental status, with no motor deficit observed. The patient was admitted to a local hospital, and her MRI report indicated the following: 1) Mild to moderate diffuse cortical atrophy. 2) Left hemipontine/hemimedullary discontinuous linear enhancement. After 4 days, the patient developed a fever and was given a course of antibiotics in the hospital. Her white cell count was 11,500 CMM. All pathological reports, ECG, ECHO, and USG were normal. What should be the exact cause of the altered mental status and sudden memory loss?
- #critical care
- #diagnostics
- #emergency medicine
- #general medicine
- #neurology
- #psychiatry
- #family health
- #cardiology
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Dr. Wahib
Active Contributor
Given the MRI findings and fever onset, infectious etiology (such as tubercular meningitis or neuroinflammatory condition) is highly probable. A biopsy or CSF analysis for protein, glucose, ADA, PCR (for TB), and autoimmune markers may confirm this.