case_images: PMC11006405_01
case_images: Eroded tongue secondary to biting during ictal episode.
case_images: cde-2024-0016-0001-537901_F01.jpg
case_images: PMC11006405_01_cde-2024-0016-0001-537901_F01.jpg
case_images: F1
case_images: He had an abrasion over his tongue (shown in Fig. 1) and a small abrasion in the right distal thigh with well-circumscribed margins (shown in Fig. 2).
case_images: Petechial rash over the upper chest.
case_images: cde-2024-0016-0001-537901_F03.jpg
case_images: PMC11006405_01_cde-2024-0016-0001-537901_F03.jpg
case_images: F3
case_images: Numerous non-palpable, non-blanching, non-tender petechiae were seen on the forehead, periorbital area, mid-face, maxilla, neck, upper chest, and shoulders during skin examination (shown in Fig. 3, 4).
case_images: Periorbital purpuric rash and conjunctival hemorrhage.
case_images: cde-2024-0016-0001-537901_F04.jpg
case_images: PMC11006405_01_cde-2024-0016-0001-537901_F04.jpg
case_images: F4
case_images: Numerous non-palpable, non-blanching, non-tender petechiae were seen on the forehead, periorbital area, mid-face, maxilla, neck, upper chest, and shoulders during skin examination (shown in Fig. 3, 4). In addition, fundal examination was unremarkable, conjunctival examination revealed bilateral hemorrhages with a clear lens and cornea (shown in Fig. 4).