An unusual cause of meningitis
Pasha, T.M.; Trower, K.; Bhatia, D.; Thaker, H.K.
Acute Medicine 4(3): 106-107
2005
ISSN/ISBN: 1747-4884 PMID: 21655530 Document Number: 10917
A 57 year old man patient presented with fever and frontal headache. He had a background history of sero-positive rheumatoid arthritis which was well controlled on immunomodulatory disease modifying anti-rheumatoid drugs (DMARDS) including methotrexate and lef lunomide. Six months earlier he had returned from Massachussetts in the USA after a one year period of residence there. On examination his vital signs were within normal limits and he was afebrile with a temperature of 36.1oC. His left elbow joint was warm, tender and swollen; examination was otherwise normal.
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