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JAMA Neurology Clinical Challenge
October 7, 2019

Pyogenic Brain Abscesses in a Patient With Digital Clubbing

Author Affiliations
  • 1Department of Neurology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
  • 2Department of Radiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
JAMA Neurol. Published online October 7, 2019. doi:10.1001/jamaneurol.2019.3327

A 34-year-old man presented with headache, double vision, and seizures for 1 month and altered consciousness for 1 week. He had had 2 episodes of seizures that were characterized by tonic head and eye deviation to the left, followed by a brief period of tonic-clonic activity of all 4 limbs and postictal confusion for 10 to 15 minutes. He denied a history of fever, head trauma, limb weakness, or vomiting. He was a vegetarian, nonsmoker, and nondrinker. He denied a history of drug addiction.

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