A 30-year-old man presented to the emergency department late in the evening, accompanied
by his parents, with a 1-week history of fever, headache, loose stools, and decreased
oral intake and a 1-day history of acute confusion. His past medical history was significant
for neurofibromatosis type 2 with bilateral acoustic schwannomas, multiple spinal
and intracerebral meningiomas, spasticity with chronic limb contractures, hydrocephalus
status post ventriculoperitoneal shunt placement, and recurrent sinusitis. He had
no known drug allergies. Medications included bevacizumab 7.5 mg/kg every 6 weeks
for treatment of meningiomas and fluticasone propionate nasal spray daily. The patient
had no sick contacts and a negative SARS-CoV-2 test result 1 day before admission.
He had no recent travel history and lived at home with his parents and siblings; his
mother attended all medical appointments with him and was his primary caregiver. He
did not smoke or drink alcohol.
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CORRECT ANSWERS: 1. d. 2. e. 3. a. 4. d. 5. e.
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Publication history
Published online: March 03, 2023
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© 2022 Mayo Foundation for Medical Education and Research. Published by Elsevier Inc. All rights reserved.
