MRCP2-3084

MRCP2-3084

A 29-year-old man was admitted to the hospital with altered consciousness and aggressive behavior. He had been in a car accident three days prior, driving at 70 mph in a residential area and crashing into a garden wall. He had fled the emergency department before any investigations were conducted, despite smelling strongly of alcohol. His family reported that he had no regular medication but suffered from recurrent sinusitis and had recently taken antibiotics. He was unemployed and prone to heavy drinking. Upon admission, he had a Glasgow Coma Scale of 13/15 and appeared disheveled, flushed, and uncooperative. He had lacerations on his face and left temporal region, and his vital signs were elevated. A CT scan revealed a lesion in the left frontal lobe, and a lumbar puncture showed abnormal CSF findings. Based on this clinical presentation, what is the most likely diagnosis for this patient?