Posted On :
03 Jan 2019
a 5 year old boy presented with history of headache with fever for last 2-3 days ,was prescribed antipyretics and decongesents and asked to report after 3 days .After three days the child had convergent squint with headache.There were no other symptoms of vomiting or fever .CT scan was sought which showed a communicating hydrocephalus with minimal basal exudates and mild periventricular ooze.There is no history of fever or headache or vomiting or loss of appetite or weight loss.There is no history of contact with tuberculosis.Fundus revealed mild pappiloedema.ESRwas 8 mm and CXR was normal.what d, d should be kept in mind looking the above picture.Should LP be done to rule out TBM.
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