A 15-year-old Indian girl presented with fever and involuntary movements of the limbs and face of about a weeks’ duration. These stereotypic choreoathetosis movements involved both upper limbs, lower limbs and face (figure 1A,B; video 1). No other neurological deficits were noted and cardiorespiratory, abdominal examinations were normal. Figure 1 (A) Chorea of the tongue causing darting in and out movements (B) Involuntary, non-patterned and purposeless movements of upper limbs. Video 1 Evaluation revealed bicytopenia with neutrophilic leucocytosis. Blood cultures were sterile and cerebrospinal fluid analysis was unremarkable including herpes simplex virus—PCR, Venereal …