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.