8yrs old male boy admitted on 3/9/18 with complaints of Fever,Headache and vomitting for one days,there is a Hx of hydrocephalus when he was 8mnth old,For which Ventriculo peritoneal shunt was done at the age of 8mnth.No neurological deficits present. O/e Conscious,Awake and oriented,Febrile 38.7°c.GCS - 15/15,Moving all four extremities,Pupils bilaterally 4mm RTL.vitally stable.Patient improving symptomatically. What could be the possible reason behind this headache and fever and what should be done??


One day history of fever , head ache & vomiting .Active child no focal deficits. Symptomatically better.CT mild hydrocephalus , shunt tube in situ. Shunt infection usually severe. Probable simple viral fever.
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Hydrocephalus is there ,but if fundus is normal and history of one day and no clinical deterioration , manage symptomatically
shunt block with shunt infection. Broad spectrum Antibiotics,and shunt decompression or remove the block after MRI Brain.
Very less likely to be an infected/blocked shunt. Could be a viral fever Treat symptomatically
If there is sign of meningeal irritation then use antibiotics otherwise as a viral fever
Yes don't relate this with shunt evetytime or could be just viral infection
Most likely viral. Investigate for counts ,enteric and urine infection
D/D viral fever,malaria,in kerala region leptospirosis, shunt infn
shunt infection/shunt displacement.....
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