Case Challenge #9

  • History
    • A 52 year old female presents with fever, new-onset weakness, and dyspnea on exertion. This is associated with weight loss and a rash. She denies current or previous drug use. No pets or recent travel.
  • Physical Exam
  • Labs
    • WBC 12k, ESR 75, CRP 8.5.
    • Blood cultures negative ngtd.
  • Imaging
    • Brain MRI shows multifocal acute CVA in different vascular distributions.

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