%0 Journal Article
%T Clinical Problem
%A Alexander R. Dietz
%A Arun S. Varadhachary
%A Asher J. Albertson
%A John R. Younce
%J The Neurohospitalist
%@ 1941-8752
%D 2018
%R 10.1177/1941874418754966
%X Here we report the challenging case of a 41-year-old man with HIV complicated by AIDS and a history of prior neurologic injury from progressive multifocal leukoencephalopathy who presented with headache, fevers, lower extremity weakness, hyperreflexic upper extremities, and diminished lower extremity reflexes. We review the clinical decision-making and differential diagnosis for this presentation as the physical examination evolved and diagnostic testing changed over time
%K spinal cord diseases
%K HIV
%K West Nile virus
%U https://journals.sagepub.com/doi/full/10.1177/1941874418754966