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2016 ; 8
(4
): 2255-62
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Diagnostic value of lumbar puncture among infants and children presenting with
fever and convulsions
#MMPMID27280001
Sadek AA
; Mohamad MA
; Ali SH
; Hassan IA
; Hussein MF
Electron Physician
2016[Apr]; 8
(4
): 2255-62
PMID27280001
show ga
INTRODUCTION: Central nervous system (CNS) infections can be categorized
according to the nature of the infectious pathogen into viral, bacterial,
protozoan, or fungal. The diagnosis of diffuse CNS infections depends on
examination of cerebrospinal fluid (CSF) obtained by lumbar puncture (LP). The
aim of this work was to determine the diagnostic value of CSF analysis in infants
and children presenting with fever and convulsions. METHODS: Detailed clinical
data of infants and children included in this study were collected with special
reference to the course and duration of the illness, description of the
convulsions, consciousness level, signs of increased intracranial pressure, and
signs of meningeal irritation. Lumbar puncture and chemical and bacteriological
analyses of the obtained cerebrospinal fluid were done for all of the children.
RESULTS: The total number of children included in the study was 85, they had a
median age 19 months, and 88% of them had generalized convulsions. CSF
examination revealed that 20% had abnormal physical findings, while 23.5% had
abnormal white blood cell count (WBC) (CSF Pleocytosis). CSF cultures were done
in three cases with the highest White blood cells (WBCs), and streptococcus
pneumoniae was present in all three cases. CONCLUSION: This study found that CNS
infections are not uncommon in infants and children presenting with fever and
convulsions in our locality, and acute bacterial meningitis cannot be excluded.
However, its presence in the absence of clinical symptoms and signs of meningeal
irritation is a remote possibility, but it should always be considered.