{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T21:47:44Z","timestamp":1788472064296,"version":"build-2803163510"},"reference-count":12,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2018,2,12]],"date-time":"2018-02-12T00:00:00Z","timestamp":1518393600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Neurohospitalist"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:p>Here we report the challenging case of a 41-year-old man with HIV complicated by AIDS and a history of prior neurologic injury from progressive multifocal leukoencephalopathy who presented with headache, fevers, lower extremity weakness, hyperreflexic upper extremities, and diminished lower extremity reflexes. We review the clinical decision-making and differential diagnosis for this presentation as the physical examination evolved and diagnostic testing changed over time.<\/jats:p>","DOI":"10.1177\/1941874418754966","type":"journal-article","created":{"date-parts":[[2018,2,12]],"date-time":"2018-02-12T23:03:15Z","timestamp":1518476595000},"page":"194-198","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Clinical Problem-Solving: Fever and Rapidly Progressive Weakness in an Immunocompromised Patient"],"prefix":"10.1177","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4194-9584","authenticated-orcid":false,"given":"Asher J.","family":"Albertson","sequence":"first","affiliation":[{"name":"Department of Neurology, Washington University School of Medicine, St Louis, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander R.","family":"Dietz","sequence":"additional","affiliation":[{"name":"Department of Neurology, Washington University School of Medicine, St Louis, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John R.","family":"Younce","sequence":"additional","affiliation":[{"name":"Department of Neurology, Washington University School of Medicine, St Louis, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arun S.","family":"Varadhachary","sequence":"additional","affiliation":[{"name":"Department of Neurology, Washington University School of Medicine, St Louis, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,2,12]]},"reference":[{"key":"bibr1-1941874418754966","doi-asserted-by":"publisher","DOI":"10.1002\/ana.20959"},{"key":"bibr2-1941874418754966","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2012.00037"},{"key":"bibr3-1941874418754966","doi-asserted-by":"publisher","DOI":"10.1038\/ncpneuro0176"},{"key":"bibr4-1941874418754966","doi-asserted-by":"publisher","DOI":"10.3390\/v6020606"},{"key":"bibr5-1941874418754966","doi-asserted-by":"publisher","DOI":"10.3201\/eid0907.030129"},{"key":"bibr6-1941874418754966","doi-asserted-by":"publisher","DOI":"10.4081\/cp.2012.e18"},{"key":"bibr7-1941874418754966","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2334-14-248"},{"key":"bibr8-1941874418754966","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.74.6.823"},{"key":"bibr9-1941874418754966","doi-asserted-by":"publisher","DOI":"10.1097\/01.phm.0000184160.87895.ea"},{"key":"bibr10-1941874418754966","doi-asserted-by":"publisher","DOI":"10.1002\/mus.10440"},{"key":"bibr11-1941874418754966","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.42.1.65-72.2004"},{"key":"bibr12-1941874418754966","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-510X(02)00418-5"}],"container-title":["The Neurohospitalist"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1941874418754966","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1941874418754966","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1941874418754966","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T22:52:38Z","timestamp":1777589558000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1941874418754966"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,2,12]]},"references-count":12,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2018,10]]}},"alternative-id":["10.1177\/1941874418754966"],"URL":"https:\/\/doi.org\/10.1177\/1941874418754966","relation":{},"ISSN":["1941-8744","1941-8752"],"issn-type":[{"value":"1941-8744","type":"print"},{"value":"1941-8752","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,2,12]]}}}