Fever or temperature instability is a warning sign in neonates: A case of complicated meningitis.

Introduction: A complete septic profile including lumbar puncture (LP) ought to be done in febrile neonates unless other consideration. Presentation: A 25-day old baby girl presented with fever and decreased oral intake for three days. She has no significant prenatal, natal or postnatal history. At...

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Main Authors:	Mohamed, Mossad, Abu Bakar, Asrar, Alsabie, Mohamed Nidal, Hammour, Ahmad, AlamRaza, Habib, Gadallah, Naser
Format:	Conference or Workshop Item
Language:	English English English English English
Published:	2019
Subjects:	RJ101 Child Health. Child health services
Online Access:	http://irep.iium.edu.my/76488/ http://irep.iium.edu.my/76488/1/A0%20Meningitis%20Poster%20%28Final%20Outlined%29.pdf http://irep.iium.edu.my/76488/7/Poster%20Cert-Dr%20Mossad.pdf http://irep.iium.edu.my/76488/8/poster%20presentation%20dr.%20mossad..pdf http://irep.iium.edu.my/76488/9/klinc%20pict%20-%20Copy.pdf http://irep.iium.edu.my/76488/10/VER%2023a%20-%20KLINC%202019%20PROGRAMME%207.11.19.pdf

id	iium-76488
recordtype	eprints
spelling	iium-764882020-01-02T07:34:22Z http://irep.iium.edu.my/76488/ Fever or temperature instability is a warning sign in neonates: A case of complicated meningitis. Mohamed, Mossad Abu Bakar, Asrar Alsabie, Mohamed Nidal Hammour, Ahmad AlamRaza, Habib Gadallah, Naser RJ101 Child Health. Child health services Introduction: A complete septic profile including lumbar puncture (LP) ought to be done in febrile neonates unless other consideration. Presentation: A 25-day old baby girl presented with fever and decreased oral intake for three days. She has no significant prenatal, natal or postnatal history. At presentation, she appeared lethargic but had no abnormal findings other than fever of 38.4 degrees and congested throat. Her anterior fontanelle was normal, and her reflexes slightly brisk. Full blood count, CRP, serum electrolytes and urine are normal. The baby was admitted for intravenous fluids and penicillin. On the third day of admission, she developed generalised convulsion aborted by diazepam. A complete septic profile, including lumbar puncture, was performed and the patient was started on cefotaxime and acyclovir. The CSF results showed leucocytosis, mainly neutrophils and high protein. She continued to have fever of which CT Brain was done and revealed an abscess at the left temporal area. About 30 ml of pus was surgically drained and the patient completed 21 days of antibiotics. As a sequela, she became hemiplegic with both visual and hearing deficiencies and is currently under a multidisciplinary team follow up. Further investigations revealed no immunodeficiency and follow up MRI showed brain atrophy. Conclusion: Lumbar puncture is an essential pillar of septic profile for a febrile neonate. Often blood test including CRP and physical examination, would appear normal despite meningitis. Effective communication is highly required to convince the family for the essentiality of lumbar puncture in early diagnosis and timely management. 2019-11-20 Conference or Workshop Item NonPeerReviewed application/pdf en http://irep.iium.edu.my/76488/1/A0%20Meningitis%20Poster%20%28Final%20Outlined%29.pdf application/pdf en http://irep.iium.edu.my/76488/7/Poster%20Cert-Dr%20Mossad.pdf application/pdf en http://irep.iium.edu.my/76488/8/poster%20presentation%20dr.%20mossad..pdf application/pdf en http://irep.iium.edu.my/76488/9/klinc%20pict%20-%20Copy.pdf application/pdf en http://irep.iium.edu.my/76488/10/VER%2023a%20-%20KLINC%202019%20PROGRAMME%207.11.19.pdf Mohamed, Mossad and Abu Bakar, Asrar and Alsabie, Mohamed Nidal and Hammour, Ahmad and AlamRaza, Habib and Gadallah, Naser (2019) Fever or temperature instability is a warning sign in neonates: A case of complicated meningitis. In: 3rd KL International Neonatology Conference (KLINC) in Conjunction with World Prematurity Day 2019, 20-23 November 2019, Sunway Medical Centre, Selangor, Malaysia. (Unpublished)
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English English English English English
topic	RJ101 Child Health. Child health services
spellingShingle	RJ101 Child Health. Child health services Mohamed, Mossad Abu Bakar, Asrar Alsabie, Mohamed Nidal Hammour, Ahmad AlamRaza, Habib Gadallah, Naser Fever or temperature instability is a warning sign in neonates: A case of complicated meningitis.
description	Introduction: A complete septic profile including lumbar puncture (LP) ought to be done in febrile neonates unless other consideration. Presentation: A 25-day old baby girl presented with fever and decreased oral intake for three days. She has no significant prenatal, natal or postnatal history. At presentation, she appeared lethargic but had no abnormal findings other than fever of 38.4 degrees and congested throat. Her anterior fontanelle was normal, and her reflexes slightly brisk. Full blood count, CRP, serum electrolytes and urine are normal. The baby was admitted for intravenous fluids and penicillin. On the third day of admission, she developed generalised convulsion aborted by diazepam. A complete septic profile, including lumbar puncture, was performed and the patient was started on cefotaxime and acyclovir. The CSF results showed leucocytosis, mainly neutrophils and high protein. She continued to have fever of which CT Brain was done and revealed an abscess at the left temporal area. About 30 ml of pus was surgically drained and the patient completed 21 days of antibiotics. As a sequela, she became hemiplegic with both visual and hearing deficiencies and is currently under a multidisciplinary team follow up. Further investigations revealed no immunodeficiency and follow up MRI showed brain atrophy. Conclusion: Lumbar puncture is an essential pillar of septic profile for a febrile neonate. Often blood test including CRP and physical examination, would appear normal despite meningitis. Effective communication is highly required to convince the family for the essentiality of lumbar puncture in early diagnosis and timely management.
format	Conference or Workshop Item
author	Mohamed, Mossad Abu Bakar, Asrar Alsabie, Mohamed Nidal Hammour, Ahmad AlamRaza, Habib Gadallah, Naser
author_facet	Mohamed, Mossad Abu Bakar, Asrar Alsabie, Mohamed Nidal Hammour, Ahmad AlamRaza, Habib Gadallah, Naser
author_sort	Mohamed, Mossad
title	Fever or temperature instability is a warning sign in neonates: A case of complicated meningitis.
title_short	Fever or temperature instability is a warning sign in neonates: A case of complicated meningitis.
title_full	Fever or temperature instability is a warning sign in neonates: A case of complicated meningitis.
title_fullStr	Fever or temperature instability is a warning sign in neonates: A case of complicated meningitis.
title_full_unstemmed	Fever or temperature instability is a warning sign in neonates: A case of complicated meningitis.
title_sort	fever or temperature instability is a warning sign in neonates: a case of complicated meningitis.
publishDate	2019
url	http://irep.iium.edu.my/76488/ http://irep.iium.edu.my/76488/1/A0%20Meningitis%20Poster%20%28Final%20Outlined%29.pdf http://irep.iium.edu.my/76488/7/Poster%20Cert-Dr%20Mossad.pdf http://irep.iium.edu.my/76488/8/poster%20presentation%20dr.%20mossad..pdf http://irep.iium.edu.my/76488/9/klinc%20pict%20-%20Copy.pdf http://irep.iium.edu.my/76488/10/VER%2023a%20-%20KLINC%202019%20PROGRAMME%207.11.19.pdf
first_indexed	2023-09-18T21:48:03Z
last_indexed	2023-09-18T21:48:03Z
_version_	1777413582446657536

Fever or temperature instability is a warning sign in neonates: A case of complicated meningitis.

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