Diagnostic Dilemma - Pediatric Oncall
Author: Pediatric Oncall
A 10 months old boy presented with fever for 7 days and excessive crying for 6 days. Fever was accompanied by vomiting initially which subsided within 2 days. Mother had open tuberculosis and was on antituberculous therapy {ATT} for past 1 week. The child was a full term normal delivery on top feeds with normal milestones and immunized for age including BCG. The child was investigated for same and CSF was normal. MRI brain showed frontotemporal enlargement of CSF spaces. The child was put on phenobarbitone and phenytoin and ceftriaxone for these complaints. On examination, child was irritable without any focal neurological deficit. Systemic examination was normal. CBC, liver enzymes and electrolytes were normal.
Answers of this discussion
Author :- arun chandrasekar on 13 February 2012.
Answer :- hydrocephalus

Author :- walid hamza on 13 February 2012.
Answer :- aseptic meningitis

Author :- baswaraj swami on 14 February 2012.
Answer :- serous TBM

Author :- tipty naikc on 15 February 2012.
Answer :- raised intracranial pressure.

Author :- NAMDEV BIRAJDAR on 15 February 2012.
Answer :- serous TBM

Author :- siva kumarc on 16 February 2012.
Answer :- can b the lymphadenitis,do the mantauox to confirm

Author :- olga filippou on 18 February 2012.
Answer :- tb encephalitis

Author :- rathancash on 19 February 2012.
Answer :- subdural effusion

Author :- Vijaysinh Bhatlawande on 20 February 2012.
Answer :- hydrocephalus

Author :- Jose Samosc on 20 February 2012.
Answer :- Aseptic meningoencefalitis

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