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Life Threatening? No
Write-up: 5/6/05 HBV and Menactra were administered. 5/11/05 bronchitis, treated with Biaxin/Albuterol and Prednisone; 5/14/05 Diarrhea, vomiting; 5/15/05 generalized seizure, ER, Dx: viral meningitis. Pt 15 yo child was seen in our office on 5/6/05 for well visit. He was given HBV and Menactra. No calls received from parents regarding any side effects. On 5/11/05 child was seen for cough, wheezing. He was diagnosed bronchitis/RAD, started on Biaxin XC, Albuterol Inhaler and Prednisone for 5 days. As per mom, he developed vomiting and diarrhea on 5/14/05. On 5/15/05 he developed generalized seizure. No h/o high fever or stiff neck or rash. Child was taken to nearest hospital by ambulance. CBC, Lumbar puncture, blood and urine culture, drug screen, Ct scan brain were done. Child was started on Ceftriaxone, Dexamethasone, Vancomycin and transferred to another hospital. He was admitted because of change in mental status. He was also started on Acyclovir. EEG NL, Neuro was consulted, child was discharged on no medication. All antibiotics were discontinued because cultures and PCR (CSF) negative in deciding for herpes simplex. the final diagnosis was viral meningitis and seizure. Please see enclosed lab results.
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