Bulging fontanelle in febrile infants: lumbar puncture is mandatory
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چکیده
منابع مشابه
Bulging fontanelle in febrile infants: lumbar puncture is mandatory.
We read with interest the study by Shacham et al.1 Out of 153 children with fever and bulging fontanelle, only one child had bacterial meningitis. However, we disagree with their suggestion of withholding lumbar puncture in this group of children. In their cohort, 41 out of 153 children had aseptic meningitis; however, cerebrospinal fl uid (CSF) viral cultures and PCR studies were only done in ...
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To ascertain whether LP was justifiable in cases of first simple febrile seizure, the records of128 such patients were critically reviewed in this study. It was evident that in 90% of those who received cerebrospinal fluid examination as a routine work up, lumbar puncture could have been avoided if the definition of simple febrile seizure was adhered to and the history and clinical finding...
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uch of the medicine we practice is enshrined in dogma. The management of children following febrile seizures is no exception. Every 5–10 years, the value and need for various investigations or treatment has been revisited in the medical press. However , despite the commonness of this clinical problem, consensus over management remains elusive. In particular, the need for lumbar puncture followi...
متن کاملis lumbar puncture justifiable in the first febrile seizure?
to ascertain whether lp was justifiable in cases of first simple febrile seizure, the records of128 such patients were critically reviewed in this study. it was evident that in 90% of those who received cerebrospinal fluid examination as a routine work up, lumbar puncture could have been avoided if the definition of simple febrile seizure was adhered to and the history and clinical findings wer...
متن کاملTransient bulging fontanelle after measles vaccination.
INDIAN PEDIATRICS 673 VOLUME 51__AUGUST 15, 2014 A 9-month-old girl weighing 6.4 Kg presented with fever and three episodes of vomiting for one day. The infant was administered measles vaccine 10 hours prior to onset of fever. Vitamin A was not given. On examination, the infant was febrile (101oF) and had a bulging, tense and pulsatile anterior fontanelle measuring 3 cm. Systemic examination, i...
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ژورنال
عنوان ژورنال: Archives of Disease in Childhood
سال: 2010
ISSN: 0003-9888,1468-2044
DOI: 10.1136/adc.2009.174318