We present a case of a 7 years old boy that developed impaired consciousness & constant headache 5 days following a tonsillitis infection treated with augmentin, investigations such as CSF was ruling out encephalitis & head MRI was supportive of the diagnosis of ADEM, however the Patient symptoms were controlled with IVIG, methylprednisolone and plasmapheresis which provided a good outcome, He also received acyclovir and ceftriaxone as an initial managment.
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