Fever with CNS symptoms in children is almost, always considered to be a CNS infection and treated as Meningitis. Central causes of fever are not usually taken in to the account in such cases. We present a case of a 2- year old girl who developed fever and CNS symptoms after she was given anti-emetic medications for her initial presentation of acute gastroenteritis. She developed high grade fever and spasticity and was treated on lines of meningitis empirically without any evidence of infection. She did not improve and once she fulfilled clinical criteria of Neuroleptic malignant syndrome, her condition improved, fever and spasticity settled. The case report highlights the importance of Central causes of fever in children to be considered in differential diagnosis while managing patients with Fever and CNS symptoms.
Kumar, Raman; Abbasi, Farah Shams; and Noreen, Asma
"Finding Needle in A Haystack; Neuroleptic Malignant Syndrome Disguising Meningitis in A 2-Years-Old Girl,"
Pakistan Journal of Neurological Sciences (PJNS): Vol. 16:
3, Article 9.
Available at: https://ecommons.aku.edu/pjns/vol16/iss3/9