Case report:
A 49-year-old male, motor mechanic by profession and with no prior
comorbid conditions presented with high grade fever (102˚ F) for three
days, watery stools with no blood or mucus for two days and decreased
level of consciousness for few hours. His drug history was only
significant for paracetamol which he was taking for fever at home. On
examination patient was dehydrated and tachycardic. On neurological
examination, he had a Glasgow Coma Scale (GCS) of three with pinpoint
pupils and decerebrate posture on pain stimulus. Neck was supple with no
signs of meningeal irritation and planters were equivocal. Rest of
vitals and systemic examination was unremarkable.