A 50-year-old healthy male was brought to the Emergency Department because of a tonic-clonic seizure of about 1-2 minutes, witnessed by his wife, with subsequent confusion for 15 minutes. He had had fever and expectoration for two days before the convulsive event and was being treated with amoxicillin. Examination revealed a tongue bite and was otherwise normal. A nasopharyngeal swab test (Alere  i Influenza A & B) confirmed influenza A infection, consistent with an ongoing influenza outbreak. EEG, CSF and neuroimaging findings are described on Table 1. Complete blood counts and blood chemistries were within the normal range except for an increased serum C reactive protein value of 32.9 mg/L (normal < 5 mg/L). He was discharged the following day without antiseizure antiepileptic medication and seizures have not recurred in 18 months. There was no history of prior seizures, febrile seizures, head trauma, stroke, or family history of seizures.