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A 37-year-old man with an unremarkable past medical history was brought to the emergency department by ambulance after being found in a coma state. After initial evaluation and stabilisation including intubation, investigations to identify the cause(s) of this coma state were carried out. On physical examination, the patient was afebrile, haemodynamicaly stable, with no evidence of trauma; neurologically there was …
Competing interests: None declared.
Patient consent: Informed consent was obtained for publication of the details in this report.