Presented by Becca Philipsborn, MD
- It depends case by case
- Patients with bacterial meningitis usually present with findings other than seizure and fever
- There is a paucity of data on fever with seizures in older children and adults
- It is reasonable to strongly consider LP on a patient with new onset seizure, fever, and any concern for meningitis (i.e. headache)
- The bacterial meningitis score is useful deciding whether or not to start antibiotics in older children
- Case presented stresses the importance of adapting to unfolding clinical scenario
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