Abstract

A 15-year-old girl presents to a local hospital with headache, fever, generalized tonic clonic seizures, blurred vision and loss of consciousness. A brain MRI showing atrophy, ischemic changes and leukomalacia was followed with a positive COVID-19 test that warranted an admission to an isolation center. A presumptive diagnosis of meningeal encephalitis was made and treatment with ceftriaxone and vancomycin was initiated with serial measurements showed low vitals, electrolytes and Glasgow Coma Score daily until her death.

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