21 month old with extreme lethargy

Patient : My 21 month old has pneumonia and double ear infection which is currently being treated with biaxin ( allergy to penicillin) she has been on antibiotics three full days and while yesterday she woke up a 1 am and was wide awake through out the day ( 3 hour nap and bed time at 8h30 like usual), today she was awake by 9 am, ate breakfast and has been sleeping ever since. and it is a 'sleep though nuclear attack' kind of sleep. she is unable to keep her eyes open for more than 1 minute. what is this?
Symptoms:  Extreme lethargy
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