A 35 year old South Indian male presented to the emergency department in a drowsy state with a history of high grade fever for 5 days and cough with mucoid expectoration for 3 days. The patient gave history of a thorn prick on his right hand a few days previously. He was not a know case of diabetes, hypertension or previous tuberculosis. He was a non-smoker and non alcoholic. He and his relatives denied any illicit intravenous drug use. There was no history of surgery or hospitalization in the past 10 years and no history of trauma, other than the thorn prick.