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Question :

Posted On : 14 Oct 2021

What is the management of the patient with a fever with fits?

Expert Answer :

Answer Discussion :

D

Dr. Sandeep Raina

1

it depends upon age of the patient. If the age is between 6 months and 60 months and its a simple febrile seizure , just wait and watch. Otherwise look for the cause of the seizure like meningitis, fever provoked seizure in epilepsy

3 years ago

M

MuradAli Khan

0

Give antipyretics ,iv diazepam and treat the cause

3 years ago

M

Mahmoud Mohamed

0

put under water and use antipyretics

3 years ago

D

Dorence Simuntala

0

manage the fever and the fits with antipyeritics and anticonvulsant respectively whilst you wait for the blood slide and the complete blood count

3 years ago

A

Afaf Mustafa

0

depends on age , whether patient returned to baseline quickly after fit, pretreatment with antibiotics, presence of lateralization signs...

3 years ago

Answer 1

On the basis of risk, benefit analysis, neither long-term nor intermittent anticonvulsant therapy is indicated for children who have experienced 1 or more simple febrile seizures. Only Paracetamol and Diazepam or Clobazam are required for fever prophylaxis. No specific studies are indicated for a simple febrile seizure. Strongly consider lumbar puncture in children younger than 12 months, because the signs and symptoms of bacterial meningitis may be minimal or absent in this age group.

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