Case Report:
A 24-year-old male presented to the emergency department with shortness
of breath and altered sensorium of 3 days duration. No symptoms were
seen 5 days back, and no history of expectoration, hemoptysis, chest
pain, palpitations, swollen limbs, or fever. On the night of the
presentation, the sensorium was worsening in the form of decreased
responsiveness, decreased speech output, and eye contact. Medical
consultation was requested for persistent unresponsiveness. On
examination, there was no history of weakness, seizure syncope,
headache, cranial nerve palsies, visual defects, head trauma, or
decreased urine output. No history of childhood epilepsy was revealed.
Further investigations revealed he had a closed long bone fracture of
the tibia and fibula five days back due to an iron rod that fell over
the left lower limb. (Fig.1) He presented to the hospital the same day,
and above-knee (AK) slab was placed, which the patient removed on his
own the next day, and 2 days later, he attended a native treatment for
fracture where manipulation and gross alignment were done.