A 13-year-old boy presented with acute onset of headache, which was followed by unconsciousness since last two days, severe difficult-to-control seizures, and occasional urinary incontinence. The coma lasted for three weeks during hospitalization.
Medical history Unremarkable medical history Investigation findings Temperature (during admission): 100°F Temperature (post-admission): 102°F-104°F Blood pressure: 90/60 mmHg Hemoglobin: 13 mg/dL Total lymphocyte count: 9000/cmm Platelet count (initial): 130000/cmm Platelet count (5th day): 100000/cmm Hematocrit (initial): 43 Hematocrit (4th day): 50 Dengue IgM (Blood): Positive Dengue IgM (CSF): Positive Rigid neck and lower limbs GCS score: 6 CSF: 50 mononuclear cells/cmm CSF Protein level: 90 mg/dL Brain MRI: T2 hyperintensity and diffusion restriction in the right thalamus and right frontoparietal cortex What according to you is this…
