Diagnostic Dilemma

Fever with multiple convulsions


Author:
Question
A 2 month old boy born of non-consanguineous marriage presents with fever and cough of 3 days and multiple episodes of generalized tonic clonic convulsions in past 2 days. The child has 6-7 episodes of seizures in a day, each lasting for few minutes without any post ictal drowsiness. There is no lethargy refusal of feeds. He is on exclusive breast feeds and milestones are normal. On examination, the child has respiratory rate of 48/min and heart rate of 100/min. There are no meningeal signs and anterior fontanelle is normal. CNS system is normal. On respiratory system the child has bilateral rhonchi. There is no hepatosplenomegaly and heart sounds are normal.

Does the child have meningitis?
Answer Discussion :
M
Mary kaupa
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Yes, I think the baby has meningitis probably pneumococcal meningitis
6 Days ago
B
Barry Alieu
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points more to febrile convulsion. LP needed to rule out meningitis
8 Days ago

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