2. Early Clinical Course

Early Clinical Course

• admitted to a local hospital when he developed expressive aphasia
  
• CT scan showed a right temporal lobe mass with subfalcine
  and uncal herniation - lumbar puncture was NOT done
  
• empirically started on acyclovir, ceftriaxone, flagyl, phenytoin, and
  decadron
  
• on the following day, MRI showed a large T2 hyperintense lesion
  in the right temporal lobe which was interpreted as tumor (glioma)
  and less likely as an infectious or ischemic process
  
• transferred to Yale-New Haven Hospital for surgical evaluation
  
• only phenytoin and decadron were continued after admission

• married with a child
  
• no HIV risk behaviors
  
• no tobacco or drug abuse
  
• occasional ethanol

• Is there any additional history you would like to know about?