Autopsy No.: #26488 positive LYME serology

Case No: 7. Autopsy No.: #26488 Age (decades): 40 Sex: Decade of Autopsy: 1990 Key Number: 26972 diagnosis multiple sclerosis age ;. progressive deterioration neurologic status requiring total care admission ;. intravenous adrenocorticotropic hormone ;. adjustment medications ;. phenobarbital ;. positive LYME serology ;. admission meridian nursing center hills ;. paraplegia ;. postural tremor ;. recurrent ;. coli urinary tract infection ;. aspiration thin liquids ;. increased difficulty swallowing ;. decreased oral motor control ;. five pound weight loss past six months ;. declining mental status ;. patient family decision gastrostomy tube placement secondary patient wishes against artificial life support ;. initiation comfort care only orders ;. discontinuation food fluids ;. elevated temperatures degrees ;. shallow respirations ;. apneic spells ;. decreased responsiveness ;. death hours ;. extensive multiple periventricular demyelinated plaques bilateral cerebral hemispheres cerebellum basal ganglia brainstem high levels cord ;. brain weight ;. moderate hydrocephalus vacuo ;. purulent material ;. bacterial overgrowth bronchi bilateral lungs consistent ;. aspiration ;. focal hemorrhage small foci acute bronchopneumonia apical posterior basilar bilateral lungs ;. combined weight ;. squamous metaplasia urinary bladder ;. cause death ;. multiple sclerosis ;.