45 year old male brought to ER by son in agitated and disoriented state after tonic clonic convulsions. BP 170/105, pulse 125, RR 15, Temp 99, What is his most likely dx?

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1. 45 year old male brought to ER by son in agitated and disoriented state after tonic clonic convulsions. BP 170/105, pulse 125, RR 15, Temp 99, What is his most likely dx?