1 year old male. Vaccine schedule complete. He begins with u | Figure 1

%27%3e%3cg%20id=%27Group-14%27%20transform=%27translate(13.000000,%20103.176124)%27%3e%3cg%20id=%27Group-Copy-5%27%20transform=%27translate(0.000000,%20182.676124)%27%3e%3crect%20id=%27Rectangle-8%27%20fill=%27%23E2E0DE%27%20x=%270%27%20y=%270%27%20width=%2736%27%20height=%2736%27%20rx=%2718%27%3e%3c/rect%3e%3cpath%20d=%27M28,27.6503435%20C28,22.127496%2023.5228474,17.6503435%2018,17.6503435%20C12.4771525,17.6503435%208,22.127496%208,27.6503435%20M18,16.3472505%20C20.8165136,16.3472505%2023.099749,14.0640151%2023.099749,11.2475015%20C23.099749,8.43098783%2020.8165136,6.1477524%2018,6.1477524%20C15.1834863,6.1477524%2012.9002509,8.43098783%2012.9002509,11.2475015%20C12.9002509,14.0640151%2015.1834863,16.3472505%2018,16.3472505%20Z%27%20id=%27Combined-Shape%27%20fill=%27%23FFFFFF%27%20fill-rule=%27nonzero%27%3e%3c/path%3e%3c/g%3e%3c/g%3e%3c/g%3e%3c/g%3e%3c/svg%3e)

Deleted account

1 year old male. Vaccine schedule complete. He begins with upper airway infection with multiple drugs for almost a month, but he doesn't get better. Suddenly he begins with neurological deterioration and is admitted to the ER. He developed meningitis. According to the images, what do you think it is? Virus or bacteria? What pathogen could it be?

More about this case

Common presentation

Why you should join Figure 1

Similar cases

\
\
45YOM patient complain of iching on the palm of both hand this begin befor 5 month what is the DX and proper treatment?](https://app.figure1.com/case-detail/159e97a5-eb0e-4601-8d75-a726f5b10fd6)

\
\
male 88yo. Started developing this condition 5 months ago. At the beginning it was only a couple of blisters in the diaper area, now he is all covered with them. He was diagnosed with pemphigus. We treat him with gentamicin cream and plain dressing. He is in a lot of pain and we are treating him with #Morphine Any suggestions?](https://app.figure1.com/case-detail/2d1b18db-b13c-4e5d-997c-5f278816835d)

\
\
88 YOM with history of peripheral vascular disease complaining of new, but gradual onset fatigue and weakness in bilateral LE, as well as RUE weakness. He was beginning to feel too weak to ambulate. Progression to Locked-In Syndrome over the course of several days.](https://app.figure1.com/case-detail/38cc5eb9-e2e6-4d59-af2c-0ebfd1bd9be6)

\
\
3 year old male. In his first 24 hours post brain surgery, he begins with fever of 38.3 degrees Celsius, and 2 hours later desaturated until 83% (he is intubated). We take a chest X ray. What is the first cause of fever in the immediate postoperative period?](https://app.figure1.com/case-detail/44d82100-b588-4734-8b8d-32a9b63568c4)

\
\
A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis.\
He had a history of hypertension, long-term smoking, and a sedentary lifestyle.\
On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.](https://app.figure1.com/case-detail/ae0fe999-6875-4474-94f0-ad823dbb9b3a)

\
\
A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets.\
Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.](https://app.figure1.com/case-detail/c271070f-2bc7-4052-9895-635277e1a7d5)

\
\
A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.](https://app.figure1.com/case-detail/48f41642-b9db-4089-b120-a94ee52328de)

\
\
patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?](https://app.figure1.com/case-detail/2af390e1-ace8-40ed-ba1c-98fb2d72f4c5)