{
    "abstract": "This case report highlights the complex clinical presentation of a 43-year-old male with a history of renal transplantation, hypertension, and diabetes mellitus, who developed viral meningitis with probable metabolic encephalopathy. The multidisciplinary approach involved infectious disease specialists, transplant nephrologists, and neurologists. This case provides unique learning points such as highlighting the complexities of diagnosing and managing viral meningitis in an immunocompromised post-transplant patient, emphasizing the importance of a multidisciplinary approach, innovative medication delivery, and awareness for complications such as metabolic encephalopathy and persistent fevers. The patient's management was complicated by altered mental status, high fevers, and medication delivery challenges, necessitating a transfer to a higher-level care facility.",
    "authors": [
        {
            "affiliation": "Internal Medicine, Merit Health Wesley, Hattiesburg, USA.",
            "firstname": "Vijay",
            "initials": "V",
            "lastname": "Sinha"
        },
        {
            "affiliation": "Internal Medicine, Merit Health Wesley, Hattiesburg, USA.",
            "firstname": "Krishna",
            "initials": "K",
            "lastname": "Patel"
        },
        {
            "affiliation": "Internal Medicine, William Carey University College of Osteopathic Medicine, Hattiesburg, USA.",
            "firstname": "Krithika",
            "initials": "K",
            "lastname": "Giresh"
        },
        {
            "affiliation": "Internal Medicine, William Carey University College of Osteopathic Medicine, Hattiesburg, USA.",
            "firstname": "Alexia",
            "initials": "A",
            "lastname": "McDonough"
        },
        {
            "affiliation": "Internal Medicine, Merit Health Wesley, Hattiesburg, USA.",
            "firstname": "Gagandeep S",
            "initials": "GS",
            "lastname": "Grewal"
        }
    ],
    "conclusions": null,
    "copyrights": "Copyright \u00a9 2024, Sinha et al.",
    "doi": "10.7759/cureus.76602",
    "journal": "Cureus",
    "keywords": [
        "aseptic encephalitis",
        "immunocompromised patient",
        "metabolic encephalopathy",
        "renal transplant",
        "renal transplant patient",
        "west nile encephalitis"
    ],
    "methods": null,
    "publication_date": "2025-01-30",
    "pubmed_id": "39881894\n33392820\n31485120\n16102302\n39599892\n33449835\n8555890\n17416440\n8195614\n12180895",
    "results": null,
    "title": "A Rare Case of Viral Meningitis and Probable Metabolic Encephalopathy in a Renal Transplant Patient.",
    "xml": "<Element 'PubmedArticle' at 0x788502d64900>"
}