Case presentation A 30-year-old female was admitted to the emergency department with a seven-day history of fever, headache with a pain intensity of 8/10 on the visual analog scale, photophobia, and neck pain. She also had an acute confusional syndrome, with varied behavior, aggressiveness, and prosopagnosia.
Medical history Underwent a dental procedure due to persistent orodental pain 15 days ago Received amoxicillin for three days Vital signs Blood pressure: 107/58 mmHg Blood pressure: 71 mmHg Heart rate: 88 beats/minute Respiratory rate: 18 breaths/minute Oxygen saturation: 99% Temperature: 36.2°C Glucometer: 110 mg/dL Physical examination Poor general condition Stuporous Neck stiffness Positive Kerning and Brudzinski signs Positive jolt accentuation sign Glasgow Coma Scale: 11/15 Periodontal abscess Blood test results Leukocytes: 4.87 × 10³/mm³ Neutrophils: 52.80% Lymphocytes: 41.7%…
