01588nam a2200313 4500 ESSALUD 20260902150357.0 ta t pe ||||| |||| 00| 0 spa d BMG eng Bhattacharyya, Shamik Autor 54423 Case 15-2026: A 64-Year-Old woman with fatigue, memory changes, and falls páginas: 2041-2050 A 64-year-old woman was admitted to this hospital because of fatigue, memory changes, and falls. The patient had been in her usual state of health until 3 weeks before the current presentation, when fatigue developed during a summer vacation in Maine. She had spent time outdoors near a lake but had had no known tick bites. One week before the current presentation, the patient had increasing fatigue while driving. She parked the car and called her husband, who took her to the emergency department of another hospital for evaluation. ALERGIA 7055 ENFERMEDAD AUTOINMUNE 53665 INMUNOLOGÍA GENERAL 53664 ESCLEROSIS MÚLTIPLE 14091 RADIOLOGÍA GENERAL 54381 ENFERMEDAD INFLAMATORIA 53667 MEDICINA CLÍNICA HOSPITALARIA 53754 Cartmell, Samuel 54424 Hung, Albert Y. 54425 Bilodeau, Philippe A. 54426 Conner, Elizabeth C. 54427 22717 22665 Massachusetts NEJM Group NEJM013 The New England Journal of Medicine ESSALUD 0028-4793 ARTICULOS 2026-08-28 sqb 22890 22890