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History of fever, progressive lethargy and posturing for 3 days. Vomiting since morning. Temperature 40 degree celsius. - Acute onset of fever and progressive lethargy suggests an infectious etiology like meningitis or encephalitis. - Posturing suggests altered mental status and elevated intracranial pressure. - Vomiting and high fever are consistent with a central nervous system infection. - The history suggests a need to evaluate for meningitis/encephalitis urgently.

Author

G Venkatesh

Language

EN