TY - BOOK AU - Bhattacharyya, Shamik AU - Cartmell, Samuel AU - Hung, Albert Y. AU - Bilodeau, Philippe A. AU - Conner, Elizabeth C. TI - Case 15-2026: A 64-Year-Old woman with fatigue, memory changes, and falls KW - ALERGIA KW - ENFERMEDAD AUTOINMUNE KW - INMUNOLOGÍA GENERAL KW - ESCLEROSIS MÚLTIPLE KW - RADIOLOGÍA GENERAL KW - ENFERMEDAD INFLAMATORIA KW - MEDICINA CLÍNICA HOSPITALARIA N2 - 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 ER -