4th Pediatric Infectious Diseases Conference
 
 
Home  Back   ISSN 0973 - 0958
 
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Specialist Answers
Question
How can i further investigate a neonate for its seizures and lethargy after the following investigations have come out to be normal:-1) No H/o birth asphyxia/ trauma. 2) serum calcium/ blood dextrose normal. 3) Work up for sepsis negative including blood culture and lumbar puncture. 4) CECT skull shows normal study. 5) ABG study normal (no metabolic acidosis, serum electrolytes normal- leave me in a doubt whether to investigate further on lines of a metabolic disorder) 6) no stigmata of intra uterine infection ( TORCH TITRE-not done due to economical restraints) Please guide me how to pursue this case. For an update the baby's seizures which started on day 3 of life are now under control on phenobarbitone, valproate and pyridoxine. But the cause for seizures still eludes me.
Answer
What is the EEG and Ultrasound of the skull? Also do a serum ammonia. Depending on the results of the same an MRI may be considered. Day 3 seizures, one needs to rule out metabolic seizures.
 
 
 
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Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?
No, it should be used only after drug sensitivity report
Yes, under guidance of an infectious disease expert
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