Chapter

Case 13

Sarah T Pendlebury, Philip Anslow and Peter M Rothwell

in Neurological Case Histories

Published on behalf of Oxford University Press

Published in print February 2007 | ISBN: 9780192631626
Published online November 2012 | e-ISBN: 9780191753121 | DOI: http://dx.doi.org/10.1093/med/9780192631626.003.0013

Series: Oxford Case Histories

Case 13

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A 34-year-old male vet presented with a 5-day history of fatigue, jaundice, decreased appetite, nausea, and inguinal lymphadenopathy. Three days before admission, he noticed that his urine looked dark and his left foot and the tips of his fingers felt numb and were tingling. The day before admission, he developed a left facial droop and inability to close the left eye. By the day of admission, the numbness and tingling had spread upwards to involve the limbs as far as the knees and elbows, he felt short of breath when talking, was unable to stand, and had choked on some paracetamol. He complained of aching in his lower back. He had had no contacts with jaundiced people, had not been abroad, had not received any blood transfusions in the past, and was married. There was no past medical history and he was a non-smoker and moderate drinker. He was on no medication.

Chapter.  1659 words. 

Subjects: Neurology

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