Diagnostic Dilemma

Fever for 15 days with one episode of convulsion

Author: Pediatric Oncall
A 1 year old girl born of non consanguineous marriage presented with fever and cough for 15 days. She had an episode of generalized tonic clonic convulsion 1 hour ago with frothing from month and lasted for 5 minutes without any past-ictal drowsiness. Father had history of febrile convulsion in his childhood. On examination, child was febrile, had no neck stiffness, had congested and enlarged tonsils. CNS examination, blood pressure was normal. Other systems were normal. A lumbar puncture done showed clear, colorless fluid with normal sugar and proteins with 178 RBCs/hpf and 2 lymphocytes/hpf.

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