A 40-year-old male patient was admitted to the hospital with a 2-day history of fever, headache, and increasing confusional state. He was protecting his airway, had a respiratory rate of 30 breaths per minute with an oxygen saturation of 95%, and was febrile without hypotension. On neurological evaluation, he was disoriented to time and place, was opening his eyes on verbal commands, had an incomprehensible speech, and was moving all limbs spontaneously. He had neck stiffness, and the fundi were normal.