Case History
A 45 years old male, farmer by occupation residing at Gujarat, India presented with complaints of headache since two-week that had gotten progressively worse, intermittent fever that may get up to 102°F, non-bilious, non-projectile vomiting, and cognitive issues since 5 days. During the examination, the patient had a normal body temperature and a Glasgow Coma Scale (GCS) score of 15. He exhibited neck stiffness and tested positive for Kernig’s and Brudzinski’s signs. No focal neurological deficits were observed. However, patient has a significant past history. Patient was diagnosed with HIV positive 3 years ago and is on ART since diagnosis. Further workup has been done which includes pathological and radiological investigations.