Hey guys, I need your help. A patient has meningitis (unknown cause), headaches, high temperature (38-39° in the evening, in the morning it comes down, sometimes even to normal), he can't urinate spontaneously and feels weakness in his legs. MRI shows no changes on the brain. Ultrasound of both kidneys showed no damages too. What could be the case here?
Have blood culture and analysis it ,check for UTI also try to give him diuretics
Blood culture was inconclusive, UTI negative. I forgot to say he's just 24...
The undulant nature of the temperature makes me want to question about travel to a P. falciparum endemic area, which could explain the leg weakness but other blood values needed. Otherwise, if the meningitis is certain, I would consider viral causes of meningoencephalitis
