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Case of the Week

Section Editors: Matylda Machnowska1 and Anvita Pauranik2
1University of Toronto, Toronto, Ontario, Canada
2BC Children's Hospital, University of British Columbia, Vancouver, British Columbia, Canada

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October 27, 2022

A 30-year-old man with 2 days of headaches and malaise, is found down by roommate. In the emergency department, he is found to have altered mental status, mutism, fever, tachycardia, hypertension, rigidity, hyperreflexia, and a purpuric rash.

Vaishnavi Rao, BS; Bryan Lanzman, MD

Stanford University School of Medicine (V.R.), Stanford, California
Department of Radiology, Neuroradiology Section (B.L.), Stanford University Medical Center, Stanford, California

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