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Stiff neck, headache, dehydration. On fluid injections. MRI of brain to check for malaria. History of type 2 diabetes. Treatment?

XXXX has a very stiff neck , and had a very bad headache . At the hospital they said he was dehydrated and gave him a quart of fluids by injection . they thought he had heat stroke , but the stiff neck is still present and the headache is still there although it is dimished soje. His eyes ache and he is fatigued. he is in agriculture and could have been bitten by mosquito . they are going to do a mri on the brain. do you have any thoughts. he is eating fairly well. he is also on metiformin, Januvia and enalapril for type 2 diabetes but the drugs have not bothered him before. I just wondered if west nile sounds like these symptoms.
Asked On : Tue, 17 Jul 2012
Answers:  1 Views:  130
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General & Family Physician 's  Response
Thanks for query,
His stiff neck with headache & lethrgic condition favoures the posibillity of cerebral Malaria or meningeal or encephalic infection.
Intra cranial leaks must be ruled out.
Answered: Wed, 18 Jul 2012
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