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