Kalweo is a seventeen year-old young man brought by his father.

Kalweo was healthy until about 5 days ago. He began to experience hotness of body, confusion and headache. He choked violently while trying to drink water. He's had two seizures, and has begun to act out violently.

Physical exam

• Slightly confuse, apprehensive, thin young man.
• Vital signs: Temp = 38.2°C, BP = 110/60, Pulse = 88, Resp = 24.
• Pupils react equally to light although his left pupil is slightly larger than the right.
• Intermittent Muscle fasiculations are noted of both upper extremities.
• There is a healed, irregular, 5 cm scar on his right hand.
• Chest is clear and no abnormal heart sounds are heard.
• Abdomen is soft with no tenderness nor organomegaly.
• Rare malaria parasites are seen in the blood smear.

An LP is done, hemogram ordered and Kalweo is started on quinine and Fansidar.