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Posted On : 03 May 2017

i have a 7 month old boy presented with h, o fever 3 days then followed by frank GTC convulsion on day 3 .o, e there were exagerated reflexes with neck stiffnessplus . brudzinski neg.my first DD was meningitis hence i did a CSF Examination which only showed slightly reduced Glucose {36 - corresponding BSL 82}whereas other reports were pro-44 tc-2 . on blood investigations there was neutrophillic leukocytosis with TC 39200 .there was no septic focus found anywhere in brain,chest or abdomen.after 2 days of iv antibiotics total count reduced to 30000.there is no shift in wbc count nor there are toxic cells or any type of abnormal cells{ leukamoid rection}.

Expert Answer :

Answer Discussion :

M

mohamed samy

0

encephalitis

7 years ago

M

Mudita arora

0

TUBERCULAR MENINGITIS

7 years ago

S

saravanan pal

0

treat on the basis of meningitis. one has to wait for csf culture .
Ct scan needed. the clinical condition of baby sensorium and behaviour is important. repeat csf analysis can be done after 48h

7 years ago

G

gamal El Fayomy

0

Bacterial meningitis

7 years ago

M

mohamed naveed

0

Meningitis , probably bacterial

7 years ago