Newborn hypoxic-ischemic encephalopathy is an important clinical problem associated with considerable morbidity and mortality. Birth prevalence ranges from 1.8 to 7.7 per 1000 term live births [1, 2, 3]. This 27 days male child presented with small size of head, not accepting feeds and listlessness. He was born at full term at home with normal vaginal delivery. At 6th month of gestation mother had fever and took some medication for the same however details were not available. On examination head circumference was 30 cm and coronal suture was fused. Child was dull and less active. CT scan showed diffuse brain atrophy and multiple infarctions.