A 45 days old year baby came on ED with C/O tremor, rigor, 5 time of fits at a home, He has consultant from local BHMS general practioner with a symptoms c/o fever , wheezing, cough, running of nose. GP precibes antimalarial artesunate without clinical pathological report I/V & following medication for three day , medicine image is attached , after 2 days pt. pt. developed tremor, rigor & fits then he refer to higher medilcal centre for further management. After emergency handling, Malarial antigen & PS for m.p. report negative negative, but widal is positive. comments on image & suggest your valuable opinion. Can pt. developed tremor , rigor & fits due to artesunate adverse drug reaction BCZ PS for M.P. negative, Suggested Your Valuable opinion & line of management

2 Likes

LikeAnswersShare
1.Aretsunate rarely causes seizure, but it can cause giddiness, drowsiness,loss of appetite in adults, Any how it should not have been used by GP without ROT+ve,MP+ve, Triprolidine,Terbutaline,Codeine, r not to be used in new born,...which may cause irritability, tremors, bradycardia, sedation, Widal test not to be considered in newborn Febrile seizure r common after 6 months-5 yrs. Child may have viral infection,c fever, which can be managed with Febrex drops +Amoxiclav dropsSOS 5 times fit in single day, is definitely CNS problem ,such as Epilepsy ,arrange for MRI Brain c ??EEG It maybe a case of??Septciemea c convolusions arrange for 1.CBC,CRP,Blood culture,sOS urine C/S LP,(SOS) CXR, &Management according to the reports
Thank you doctor
0

View 3 other replies

Child is still alive after enthuciastic treatment by that doctor is what matters the most . Stop all these medications . Malaria and typhoid are rare in below 3 months of age . Tremor might b due to terbutaline . But seizure here should be taken seriously . U might be dealing with meningitis . Will need lumbar puncture . Do crp blood c/s cxr too . Whats the use of serum bilirubin here . Serum electrolytes random blood sugar needed too .
Thank you doctor
0
POSSIBLY FEBRILE SEIZURES.. . CONVULSIONS... COUPLED. WITH... ANTIBIOTICS AND ANTIMALARIAL. DRUGS... IN. AN. ANAEMIC. PATIENT..... ADVISABLE... ALSO..... RULE. OUT.. ACUTE. MENINGITIS ..N. C. C
Thank you doctor
0
I think there is no point of positive report of widal in 45 days baby Fever with cough cold seems to viral in origin Along with seizure Could be meningitis Also go for serum calcium
Thank you doctor
0
IT'S A..CASE OF.. ? FEBRILE CONVULSIONS .. NEED'S.. ANTIPYRETIC..PCM AND ANTIBIOTICS AS PER REQUIREMENT, DOSE.. ANTICONVULSANT..SOS. . EXPERTS OPINION..
Thank you doctor
0

View 3 other replies

I completely agree with@ @Dr. Madhukar Deshpande ..
Thank you doctor
0

View 1 other reply

Septicaemia/Acute Bacterial Meningitis
Thank you doctor
1

Cases that would interest you