🧩 Clinical Conundrum Alert!

A patient presents with classic meningitis...but is it?

Ready to solve the mystery? 🔍
🔗 doi.org/10.1002/jhm.70134

#MedicalEducation #ClinicalReasoning #HospitalMedicine #DiagnosticChallenge

🧠 Vomiting + ataxia
🧪 Mildly raised lactate
🧬 Normal organic acids
💊 Thiamine helps—but why?

When the usual tests don’t fit, dig deeper.
Can you crack this metabolic mystery?

🔗 onlinelibrary.wiley.com/doi/10.1002/...
#IMD #RareDisease #MetabolicMystery #JIMDReports #DiagnosticChallenge