Description

A 37-year-old man presented to the emergency room with fever, slurred speech and a 4-day history of progressively worsening headache. His medical history was unremarkable. He was not on any drug treatment. He described the headaches as dull, mild, constant, holocephalic and without focal features. On examination, his temperature was 39.2°C, blood pressure was 108/62 mm Hg, pulse was 106 beats per min, oxygen saturation was 92% (ambient air) and respiratory rate was 40 breaths per min. He was awake and oriented, with slow responses. Chest auscultation revealed bronchial sounds at the right …