23rd May 2024

A 40-year-old man of European origin, with a background of SLE and lupus nephritis on rituximab

A 40-year-old man of European origin, with a background of SLE and lupus nephritis on rituximab, was admitted with a headache. On examination, GCS is 12/15, he is pyrexial, BP is 124/66, HR is 88. A head CT with contrast shows some meningeal enhancement but no radiological signs of raised intracranial pressure. A lumbar puncture was done, and the opening pressure was 37 cmH2O (normal range: 6-18).

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