Hello, My daughter 7months contracted a fever 3 days ago 37c to 38c observed mainly on the upper side of the head. second day she suffered from the same symptom but unrest in her stomach and gases started to formulate in her abdomen. third day (yesterday) we observed some involuntary shakes in her head that later in the day spread to her entire body (similar to parkinson decease) we took her to the doctor who advised we take her to the hospital for a CT scan and some blood tests. The CT showed no anomalies and the blood tests are good, calcium level is 9 and she was put on 2 antibiotics and 1 antiviral ceriums. she immediately positively reacted to the antiviral and the body shakes immediately improved and the head shakes are now at 10% of yesterday. Any suggestions or diagnostics?
Hello, Your baby has a fever for three days, history of body shaking, that is actually seizures. So my diagnosis is meningoencephalitis which could be viral or bacterial in origin (viral in your case as you described). I advise for cerebrospinal fluid (CSF) examination, sent blood culture and CSF culture, continue antiviral for seven days. Also, plan to work up for the metabolic condition, electrolyte study, lastly MRI brain and electroencephalogram (EEG). Hope I have answered your query. Let me know if I can assist you further.