Analysis of Cases Admitted with Fever with First Time Seizures Within Age Group of 3 to 12 Months
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 11
Abstract
It is essential to exclude underlying meningitis in all children with febrile seizures (FS) either clinically or if uncertain by lumbar puncture (LP) because majority of such cases of meningitis are bacterial in origin and delay in diagnosing meningitis can result in serious neurological morbidity and mortality. This study was conducted with the primary objective of finding out the incidence of acute bacterial meningitis (ABM) and to determine the role of the Cerebrospinal fluid (CSF) in differentiating ABM from first simple febrile seizure (FSFS) in children between 3and 12 months. During the study period a total of 115 infants and young children between 3 to 12 months were brought consecutively to the Pediatric of Kurnool Medical College, Kurnool, after their first fever-associated-seizure. After applying exclusion criteria and deducing those cases that refused LP, 103 children fulfilled the inclusion criteria and were taken as study group. On CSF analysis 13 turned out to be Meningitis while 10 of them were cases of Acute Bacterial Meningitis (ABM). Among 3 to < 12 months of age a total of 13 cases had meningitis but only 4 (30.8%) presented with meningeal signs and 9 (69.2%) had no meningeal signs. Based on culture, 4(30.7%) were CSF culture positive, whereas 01(7.71%) were blood culture positive and both CSF and blood cultures were positive in 01(7.7%). We recommend to follow 1996 AAP guidelines till HIB/PCV immunization coverage reaches more than 90% as is existing now in united states based on which these guidelines were revised in 2011.
Authors and Affiliations
Dr. P. Ravindranath Reddy
Keywords
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- EP ID EP238359
- DOI 10.9790/0853-1611054447
- Views 117
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