Case presentation A 5-year-old boy was presented in the emergency ward with high-grade fever (39°C) for two days, followed by more than five episodes of generalized tonic-clonic seizures (each episode lasted for about a minute). The boy appeared lethargic post-ictal. In the hospital emergency ward, he exhibited status epilepticus for over an hour, which aborted after administration of valium suppository (5 mg), IV Valium (2 mg), and IV Phenytoin (400 mg) over 30 minutes.
Medical history No previous co-morbidities No history of abnormal behavior Lack of upper respiratory tract infection or gastrointestinal symptoms before the onset of symptoms No family history of seizure or neurological disorders Investigations Complete blood count revealed leukocytosis TW 15.3. Normal results for venous blood gas (VBG), oxygenation level, and blood pressure. The results of the CSF study were…
