Case
This 70-year-old woman, who lives in a rural area in the Midwestern United States, developed an illness in August that progressed over 3 days to include a moderate fever, headache, lower extremity weakness, and lethargy progressing to severe confusion.
On examination, she is unresponsive to verbal stimuli, and both pupils respond sluggishly to light. No other neurologic abnormalities are apparent. She lives with her husband on an old farm, and rodents have been frequently seen around the house and barn.
Question 1 of 3
Which one of the following would be the most probable viral cause?
A - Western equine encephalitis
B - California (La Crosse strain) encephalitis virus
C - Colorado tick fever virus
D - West Nile virus
E - Lymphocytic choriomeningitis virus
Click HERE to answer the question, view the remaining questions, and complete the progressive case!
Don't forget to create a MyAccess profile to get the most out of your AccessMedicine subscription!
Create a Free MyAccess Profile
AccessMedicine Network is the place to keep up on new releases for the Access products, get short form didactic content, read up on practice impacting highlights, and watch video featuring authors of your favorite books in medicine. Create a MyAccess profile and follow our contributors to stay informed via email updates.