Present Illness: A 44-year-old right-handed male who is a dental assistant presents with a prior history of chronic hepatitis C infection diagnosed one year prior to presentation. He was recently admitted after a two-week history of nausea, vomiting, diarrhea, and fever, and treated with intravenous hydration and an oral quinolone antibiotic. On the day prior to admission, the patient noticed lower extremity weakness with inability to lift his feet (right greater than left), which resulted in falling while ambulating at home.
This was associated with numbness and tingling in his extremities, noticeable problems with erection, and numbness in his perineal region. On the night of admission, the patient noticed right arm weakness when trying to lift his forearm and shoulder, and inability to grip with his hand or extend his fingers. He had normal bowel and bladder function and denied back…
