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meningismus |
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Fever (temperature [greater than or equal to] 38[degrees]C) 29 (91) 0 Nausea (with or without vomiting) 26 (81) 0 Headache 28 (88) 5 (19) Altered mental status 16 (50) 0 Meningismus 10 (31) 0 Rash 4 (13) 0 WNV-associated neurologic features * Tremor 21 (66) 8 (25) Myoclonus 15 (47) 2 (6) Parkinsonism 8 (25) 2 (6) Cerebellar ataxia 3 (9) 2 (6) Limb atrophy 0 17 (53) 1-y followup, Sign/symptom N = 22, no. His symptoms included headaches, dizziness, spiking fevers, and sweats; on examination, mild otitis was noted, but he did not display meningismus or other neurologic signs. Severe leptospirosis may include aseptic meningitis, jaundice, renal failure and hemorrhage; the more severe syndrome characterized by fever, meningismus, and renal and hepatic failure is referred to as Well's disease. |
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