Jeffrey Proudfoot wrote:
> steven szabo wrote:
> > Just one last thought on this issue....maybe I am a little slow but I never
> > realy got it: what is the statistical chance of a second febrile seizure (
> > 6 month later) not being caused by bacterial infection and /or meningitis......
I recall as a housestaff back in 1978 when bacterial meningitis was not
all that uncommon that we would quote a 1% chance of a first time
febrile seizure being an early meningitis. It was great practice and
learning for family practice residents to do L.P.'s. Wouldn't you know
that one of the E.R. staff's own child came in with simple febrile
seizure. He talked us into not doing L.P. since she looke o.k. Wouldn't
you know that 12 hours later she came backe with pneumococcal meningitis
and a right sided paresis. He kicked himself for "interfering".
Now in the 90's very few kids have bacterial meningitis. Personally I
watch all first time febrile seizure kids for 4-6 hours minimum. Any
change in neuro status or anything funny about the presentation,L.P.
How long do list members watch if an L.P. not done for simple F.Sx.?
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