Patient's question:
The child is currently 28 months old and admitted to the hospital due to "fever for two days, one episode of convulsion." The peak temperature was 39.4°C, with no significant cough or runny nose. A convulsion occurred around 01:30 at night, characterized by staring eyes, shaking limbs, foaming at the mouth, and unresponsiveness. There was no incontinence of urine or stool, and it lasted for about one minute before resolving spontaneously. Please refer to the report for the electroencephalogram (EEG) results. Other blood tests, such as complete blood count (CBC), were normal. The hospital diagnosis was central infection, upper respiratory tract infection, and encephalitis.Doctor's answer:
An EEG is not a basis for diagnosing encephalitis. If the child has a first episode, it is recommended to perform a cranial MRI and a lumbar puncture to examine cerebrospinal fluid to determine whether it is intracranial infection or high fever convulsions.