>I treat a febrile child with simple febrile seizure like any other child
>with fever only: If he looks sick, if he has stiff neck then I do a LP.
>Sometimes a period of observation is needed (once the post-ictal state is
>finished) before I make up my mind...
>There is no more risk of meningitis among this sub-population.
I believe that the literature supports this position. The AAP guidelines
have been soundly and appropriately criticized (Peds 1997; 99:306-307) for
their inattention to prevailing practice patterns and the existing literature.
Steve Green, MD, FACEP
Director, Emergency Medicine Residency Program
Professor of Emergency Medicine
Loma Linda University Medical Center & Children's Hospital
Loma Linda, California
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