Meningitis - Pediatric Oncall

ISSN 0973 - 0958

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Question Category : Meningitis
Sir I'd like to know about how to approach partially treated bacterial meningitis and management Check Out the Answer
Question Category : Meningitis
2 yr male child referred to me as a case ,with h / o fever 5 days altered sensorium 4 days,unconsciousness 3 days? Seizure. On exam I found RT facil palsy and rt ul monoparesis, neck rigidity was positive,b/l planter upgoing, b/l pupil diluted? Due to Mydriatricsatropine ointment applied,,fundus was wnlresponding poorly to deep painful stimuli. Other system wnl.i kept the possibility of adem. I kept on i/v cefipime ,amikacin,mannitol .. Investigation were widal -ve,mp -ve csf 10 lymphos,protein 96,ct 1 hypodense lesion on parieto occiptal region,next day develop lt ll paresis.mri report on next day was s/o of adem.i started methyl pred pulse therapy ,i also added acyclovir.child showed improvement on 3rd day,now 7th day of admission,he is movinng all limbs,facil improved,accepting orally well,my worry is he is not speaking and visual perception is also poor,pupil still dilated,i am tapering steroid,my plan to taper prednisolone in next 8 days,to complete acyclovir 10days,cefi pime 14 days.my? How long i can wait for recovery,or any other help ? Check Out the Answer

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