Date | Relevant past medical history and interventions | ||
3rd August 2014 | A 3-month old baby boy, born at term via spontaneous vaginal delivery for prim mother who had no antenatal risk for neonatal sepsis, had good APGAR score and no SCBU admission. Admitted in August with Salmonella species bacteremia complicated with meningitis evident clinically and radiologically, treated sub optimally with ceftriaxone for 14 days then discharged home. | ||
Dates | Summaries from initial and follow-up visits | Diagnostic testing | Interventions |
3rd November 2014 | Readmitted with a history of 2 weeks fever (>= 38c) associated with 2 episodes of focal tonic-clonic convulsions. Later developed 2 episodes of left-sided focal tonic-clonic convulsions of 2 minutes’ duration. This febrile illness was preceded by a history of diarrhea of one day with no other household member had diarrheal illness during that period. After discharge from this admission patient lost follow up with our health care | Blood culture was negative CT brain: showed features suggestive of right high posterior parietal region empyema/abscess with edema and mass effect | Tapping of the abscess through burr hole |
4th November 2014 | Pus culture grew Salmonella L species | ||
from 5th November to 21st November 2014 | Ceftriaxone (50 mg/kg - 12 hourly) |
APGAR - Activity, Pulse, Grimace, Appearance, Respiration, SCBU - Special Care Baby Unit