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??

6 Likes

LikeAnswersShare
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.
Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!
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.....
Load more answers

Cases that would interest you