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.