A young child presents with a first seizure. He has no past medical - ProProfs Discuss
Advertisement

A young child presents with a first seizure. He has no past medical history of note. In the morning he was a bit lethargic but otherwise had no specific symptoms. On arrival he is febrile (39degC) and post-ictal. (tick all that are true)

Asked by Adsie, Last updated: Apr 13, 2021

+ Answer
Request
Question menu
Vote up Vote down

1 Answer

adsie

adsie

adsie
Adsie

Answered Oct 05, 2018

Partial, multiple or prolonged (over 30 mins) seizures make the diagnosis of febrile convulsion less likely
Classic meningism may not be detected in infants with meningitis

Bacterial meningitis can present with fever and seizures, but the prevalence of meningitis is falling with the introduction of Hib, MenC and Pneumococcal vaccines. In the typical patient with febrile convulsion, you would have to do over 200 LPs to detect one case of meningitis. Seizures have been reported to increase protein counts (up to 0.5) and neutrophil %(up to 55%), but not total white cell count so probably not clinically significant.
upvote downvote
Reply 

Advertisement
Advertisement
Search for Google images Google Image Icon
Select a recommended image
Upload from your computer Loader
Image Preview
Search for Google images Google Image Icon
Select a recommended image
Upload from your computer Loader
Image Preview
Search for Google images Google Image Icon
Select a recommended image
Upload from your computer Loader

Email Sent
We have sent an email to your address "" with instructions to reset your password.