57 YEAR OLD MALE WITH CHEIF COMPLAINTS OF FEVER, ALTERED SENSORIUM FROM 1 MONTH
NOTE: THIS IS AN ONLINE E LOGBOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS/HER GUARDIAN'S SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR INDIVIDUAL PATIENT'S PROBLEMS THROUGH A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT A 57-year-old male resident of Nalgonda security guard by occupation came with the chief complaints of fever since 1-month, generalised weakness since 1 month and altered sensorium 1 month back for 3 days. HISTORY OF PRESENT ILLNESS: He is apparently alright before 5 yrs then he developed neck pain which is insidious in onset gradually progressive dragging type associated with muscle spasms and clicking, popping sensation in the neck and backache which was also dull and aching pain with not able get up easily from bed and then after he developed dizziness, weakness, tingling and numbness in both the hands an