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Article: Cerebral trypanosomiasis in an incarcerated man
- Article from:
- Canadian Medical Association. Journal
- Article date:
- February 13, 2007
- Author:
CopyrightCopyright Canadian Medical Association Feb 13, 2007. Provided by ProQuest LLC. (Hide copyright information)
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CLINICAL VISTAS
A 40-year-old First Nations man was transferred to hospital from a Manitoba correctional facility following a 2-week history of headache, nausea, vomiting and drowsiness. He denied any travel outside of Manitoba; family members confirmed this. He admitted to a history of intravenous substance abuse.
On examination the patient was afebrile with no meningism. He had a sudden decrease in level of consciousness associated with a left fixed and dilated pupil and right-sided hemiparesis. Head CT revealed an extensive enhancing space-occupying lesion involving both frontal lobes (Fig. 1). An urgent craniotomy was performed to reduce the tumour and obtain a tissue sample.
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