High

A 10 year old girl presents shortly after a tonic-clonic seizure. She had experienced low-grade fever for a week, a severe headache for 2 days and loss of vision since waking up today.

Her medical, family and birth histories are unremarkable.

Select Relevant Investigations
Renal functions & electrolytes

Performed

Urea: 40 mg/dl (normal < 50)
S. Creatinine: 0.4 mg/dl (normal: 0.3-0.7)
Na+: 140 mEq/l
K+: 4.0 mEq/l
Cl-: 98 mEq/l
Urinalysis

Performed

Color: dark
pH: 5.0
RBC: 40 - 50 / hpf
Pus: 1 - 2 / hpf
Albumin: 2+
RBC casts and granular casts noted
CT Brain

Performed

The CT scan of the brain shows symmetric occipital hypodense lesions with cerebral edema.
ASOT & C3 levels

Performed

Serum ASOT: 300 IU/mL (normal < 200)
Serum C3: 30 mg/dL (normal: 80 - 180)

Select Relevant Management
Hydralazine
Diazepam
Penicillin
Plasmapheresis stat