Transient bulging fontanelle after measles vaccination.

INDIAN PEDIATRICS 673 VOLUME 51__AUGUST 15, 2014 A 9-month-old girl weighing 6.4 Kg presented with fever and three episodes of vomiting for one day. The infant was administered measles vaccine 10 hours prior to onset of fever. Vitamin A was not given. On examination, the infant was febrile (101oF) and had a bulging, tense and pulsatile anterior fontanelle measuring 3 cm. Systemic examination, including neurological, and fundus were normal. Total leukocyte count in the blood was 8100/ mm3. Lumbar puncture revealed clear cerebrospinal fluid (CSF) with high opening pressure. CSF was acellular; sugar and protein were 72 mg/dL and 24 mg/dL, respectively. Blood and CSF cultures were sterile. Magnetic resonance imaging (MRI) of brain was normal.