Case No 2
Patient no 2 is a 63 years old female who presented with complaints of
fever and confusion from the last 2 days and had 3 episodes of seizures
in the last 24 hours. She has a background history of hypertension and
poorly controlled diabetes. She had signs and symptoms of upper
respiratory tract infection like nasal stuffiness, rhinorrhea and sore
throat and severe body aches from the last 10 days. On examination she
had a fever of 102.6 F, blood pressure of 105/72 mm Hg and a pulse rate
of 102 bpm. Her throat examination showed red hyperemic throat. On her
central nervous system examination she was not oriented in time, place
or person and had a GCS of 11/15. She did not have any neck stiffness or
any focal neurological deficit. On chest examination she was having
predominantly left sided chest crepitations. Her lab and upon suspected
encephalitis spinal fluid was done whose reports are as follows in