A 54-Year-Old Female With Fever and Ataxia

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Marie-Lie Cadieux-Simard MD
Laurence Green MD


ataxia, hypertension, alcoholism,


We present the case of a 54-year-old female known for hypertension, alcoholism and occasional cocaine intake. She was brought to the emergency department because of new onset confusion and decreased level of consciousness. The history was taken from a family member. The patient had increased shortness of breath with a cough that started 48 hours prior to her visit. The night prior to presentation, she was intoxicated with cocaine and alcohol and was then found to have slurred speech, gait disturbance and urinary incontinence. The next morning, she was found obtunded, which prompted her family members to seek medical attention.
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