21yr old with Altered sensorium
21 year old male with altered sensorium Pt came to casualty in state of altered sensorium with slurring of speech since yesterday Pt does hotel management and stays alone. He was apparently asymptomatic 5 days back. He had fever 5 days back which was high grade, continuous, associated with chills and rigors. No history of cold and cough . He went to local hospital got treated but the fever did not subside. Later after a day he consumed beer, had biryani. He had 1 episode of vomiting and loose stools since 3 days. (2 days back), while he was in room suddenly he had involuntary movements of all 4 limbs associated with frothing, uprolling of eyes, post ictal confusion, he bit his lower lip no tongue bite . He had 1 episode of vomiting at the time of involuntary movement, and loose stools. Loose stools, foul smelling. Since yesterday afternoon, pt was in altered sensorium , with slurred speech, and deviation of mouth. He presented to hospital on 19/09/22 and was treated he was sedated