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What Causes High Fever With Convulsion?

Posted on Tue, 8 Jul 2014

Question: I have a question about meningitis in young children (1 year old). My son got very high fever very quickly today at daycare. Apparently he might have had a convulsion. He was very hard to wake up and very drowsy. His feet and hands were very cold when I picked him up. After a paracetamol suppository his fever came down. He slept normally and then woke up, ate, played, and was normal. I was told just now about the convulsion and the shaking, so I did not know this when I took him to the doctor. But now I am worried and wonder if I should take him to hospital. He has been fine for the rest of the day. Is it possible to have meningitis and feel fine?

Answered by Dr. Prashant Mahajan (1 hour later)

Brief Answer:
less likely

Detailed Answer:
Hi
Thanks for review

Clinically this looks like simple febrile convulsion. This type of convulsion occur in children 9 months to 6 years. It is benign. No anticonvulsant is needed.( provided his milestones are normal as per age and no significant intranatal or postnatal history )

But since this was first episode of convulsion he should be investigated for other causes of seizure. So take him to hospital. Since he is playful meningitis is less likely.

Happy to help you
Best regards

Above answer was peer-reviewed by : Dr. Vaishalee Punj