Pneumococcal meningitis presenting with a simple febrile seizure and negative blood-culture result.
Pediatrics
; 120(2): e428-31, 2007 Aug.
Article
in En
| MEDLINE
| ID: mdl-17646353
ABSTRACT
A 12-month-old girl with occult bacterial meningitis presented with a simple febrile seizure. On examination, the patient was alert, interactive, and smiling responsively without meningeal signs, focal neurologic findings, or signs of extreme illness. Her parents were reluctant to allow a lumbar puncture, and the patient was admitted for observation without lumbar puncture. Her fever resolved, and she was playful, had good oral intake, and was discharged 24 hours after admission. Her initial blood-culture result remained negative. Within 24 hours of discharge, the patient had a focal febrile seizure, came back to the hospital, and was found to have meningitis with a penicillin-susceptible, nonvaccine Streptococcus pneumoniae strain 12F.
Search on Google
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Seizures, Febrile
/
Meningitis, Pneumococcal
Type of study:
Diagnostic_studies
Limits:
Female
/
Humans
/
Infant
Language:
En
Journal:
Pediatrics
Year:
2007
Document type:
Article
Affiliation country:
Estados Unidos