Presenting complaints
1-year-old boy was brought to the paediatric office presenting with fever. A day before the mother reported that the child’s temperature was 102°F at 8 AM for which she had administered paracetamol. The fever came down to normal after which the child was fed with milk. Next day at 4 AM the child again had an elevated temperature of 104°F, which slowly decreased with administration of paracetamol until it reached 99.4°F at 8 AM and was stable till 4 PM. He was the eating well and playful. At 4 PM the child’s temperature again elevated and the mother observed an event during which the child had symmetric stiffening of his upper and lower extremities, abnormal eye movements described as “rolling back,” bluish discoloration around the mouth, and unresponsiveness. This event reportedly lasted for a minute, after which he appeared “drowsy” for the next 10 minutes. Due to this event the child’s parents were very apprehensive and worried about him; and immediately brought him to the paediatrician.