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abstractpubmed· Abstract 2017· item PMID:28390644
A 19-Year-Old College Student With Headache, Photophobia, and Flulike Illness. CASE PRESENTATION: A 19-year-old previously healthy man presented, minimally responsive, in respiratory distress to an ED after a 2-week history of headache, photophobia, and neck stiffness. Associated symptoms included low-grade fevers, malaise, and dark urine. He had no recent travel, ill contacts, consumption of undercooked meat, new sexual contacts, or illicit drug use. The patient resided in a campus dormitory and did not consume alcohol or tobacco.