Last updated on: March 30th, 2021

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You’re looking at an interactive case study from Prognosis: Your Diagnosis (one of four distinct learning formats available in Clinical Odyssey). Try it out, and have fun improving your clinical skills.

Totally Confused


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A 34-year-old man presents with fever and confusion for four days. No other symptoms are present. He was diagnosed with schizophrenia a month ago and started on olanzapine. He is not on any other medications. His medical, surgical, and psychiatric histories are unremarkable otherwise.

A full blood count is significant for a leukocyte count of 12,000/mm3 (normal: < 11,000), with 65% neutrophils and 34% lymphocytes. A random capillary glucose and liver profile are within normal parameters.

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