After bout with pneumonia, toddler presents with emesis, altered mental status and fever

A 20-month-old male presents with acute onset of emesis, altered mental status and fever. Soon after admission to the pediatric ICU, he began having seizures and became obtunded.
His past medical history was positive for being hospitalized with lobar pneumonia (Figure 1) 2 weeks earlier, and he had just finished a course of oral antibiotics. Otherwise, he has been a healthy child, with no history of recurrent ear, sinus or other pulmonary infections.
His immunizations are up to date, there has been no travel or sick contacts, and he eats an age-appropriate diet. He lives with his parents, and

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