Question: A 38-year-old man was referred to us with loss of consciousness and seizure. In the history taken, it was revealed that he had had tremor, low back pain, trismus, and hand/foot locking for 4 days before presentation and constipation for almost 2 months. The Glasgow coma scale was 5. The patient’s blood pressure, pulse rate, respiratory rate, and temperature were 170/110 mm Hg, 85 bpm, 40/min, and 37.2°C, mandating intubation for respiratory distress. About 2 hours after presentation, he experienced another seizure episode.