title: A 19-Year-Old College Student With Headache, Photophobia, and Flulike Illness.
abstract: A 19-year-old previously healthy man presented, minimally responsive, in respiratory distress to an ED after a 2-week history of headache, photophobia, and neck stiffness. Associated symptoms included low-grade fevers, malaise, and dark urine. He had no recent travel, ill contacts, consumption of undercooked meat, new sexual contacts, or illicit drug use. The patient resided in a campus dormitory and did not consume alcohol or tobacco.
authors.affiliation: Division of Pulmonary and Critical Care Medicine, University of Kansas Medical Center, Kansas City, KS.
authors.forename: Mohamed Ramez
authors.initials: MR
authors.lastname: Mourad
authors.affiliation: Department of Internal Medicine, University of Kansas Medical Center, Kansas City, KS.
authors.forename: Olivia M
authors.initials: OM
authors.lastname: Siwoski
authors.affiliation: Division of Pulmonary and Critical Care Medicine, University of Kansas Medical Center, Kansas City, KS. Electronic address: kbrownback@kumc.edu.
authors.forename: Kyle R
authors.initials: KR
authors.lastname: Brownback
mesh_terms: D003907:Dexamethasone / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004751:Enteritis / Q000188:drug therapy / Q000382:microbiology*; D005674:Fusobacterium Infections / Q000188:drug therapy / Q000382:microbiology*; D005675:Fusobacterium necrophorum / Q000302:isolation & purification*; D005938:Glucocorticoids / Q000627:therapeutic use; D006261:Headache; D006801:Humans; D051359:Lymphohistiocytosis, Hemophagocytic / Q000188:drug therapy / Q000382:microbiology*; D008297:Male; D020795:Photophobia; D055815:Young Adult
chemical_list: D005938:Glucocorticoids; D003907:Dexamethasone