000			01588nam a2200313 4500
001			ESSALUD
005			20260902150357.0
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040			_aBMG
041			_aeng
100			_aBhattacharyya, Shamik _eAutor _954423
245			_aCase 15-2026: A 64-Year-Old woman with fatigue, memory changes, and falls
300			_apáginas: 2041-2050
520			_aA 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.
650			_aALERGIA _97055
650			_aENFERMEDAD AUTOINMUNE _953665
650			_aINMUNOLOGÍA GENERAL _953664
650			_aESCLEROSIS MÚLTIPLE _914091
650			_aRADIOLOGÍA GENERAL _954381
650			_aENFERMEDAD INFLAMATORIA _953667
650			_aMEDICINA CLÍNICA HOSPITALARIA _953754
700			_aCartmell, Samuel _954424
700			_aHung, Albert Y. _954425
700			_aBilodeau, Philippe A. _954426
700			_aConner, Elizabeth C. _954427
773	0		_022717 _922665 _dMassachusetts NEJM Group _oNEJM013 _tThe New England Journal of Medicine _wESSALUD _x0028-4793
942			_cARTICULOS _e2026-08-28 _zsqb
999			_c22890 _d22890