Bulging Fontanelle and Need for Lumbar Puncture

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Bulging fontanelle in febrile infants: lumbar puncture is mandatory.

We read with interest the study by Shacham et al.1 Out of 153 children with fever and bulging fontanelle, only one child had bacterial meningitis. However, we disagree with their suggestion of withholding lumbar puncture in this group of children. In their cohort, 41 out of 153 children had aseptic meningitis; however, cerebrospinal fl uid (CSF) viral cultures and PCR studies were only done in ...

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Clinical inquiries. Which infants need lumbar puncture for suspected sepsis?

Evidence from prospective and retrospective clinical trials suggests that for infants <2 months old, only those at high risk for serious bacterial infection by standardized criteria (eg, Rochester classification) require lumbar puncture (strength of recommendation [SOR]: B, based on prospective and retrospective cohort studies). However, expert opinion suggests lumbar puncture on all infants ag...

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ژورنال

عنوان ژورنال: Pediatric Neurology Briefs

سال: 2009

ISSN: 2166-6482,1043-3155

DOI: 10.15844/pedneurbriefs-23-10-9