Bulging fontanelles in infants without meningitis.

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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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بيصت يتلا ةريطلخا ضارملأا نم غامدلاو اياحسلا باهتلا لازام رفوت نم مغرلاب كلذو 25% ىلإ لصي تايفو لدعبمو لافطلأا تافعاضم نم ينباصلما نم ريثك ىناعي .ةثيدلحا تاجلاعلا ةينهذلا تابوعصلاو ،عرصلا اهنمو لجلأا ةليوطو ةددعتم عيرسلا جلاعلاو صيخشتلاب ةيبهذلا ةدعاقلا لظتو .ةيكولسلاو مدقن .ةزكرلما ةيانعلاب جلاعلا وأ ةثيدلحا تاجلاعلا ريفوت نم مهأ ىدل غامدلاو اياحسلا تاباهتللا ةثيدح ةعجارم لاقلما اذه يف يف تامي...

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ژورنال

عنوان ژورنال: Archives of Disease in Childhood

سال: 1989

ISSN: 0003-9888,1468-2044

DOI: 10.1136/adc.64.4.635-a