What is the most likely diagnosis

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A 49-year-old female arrives in the emergency room. She has a long history of IV drug use. Over the past year, the patient's personality has changed, and she is more withdrawn and subdued. Her memory has deteriorated, and she has lost 45 pounds in the past five months. She complains of weakness and difficulty maintaining her balance. During your examination, she scores 21/30 on the mini-mental status exam. What is the most likely diagnosis?

Reference no: EM133687360

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