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Suggest Remedy For Vision Issues, Drowsiness And Confusion
Question: Daughter found confused in a state of undress on monday. Took to er admitted then tried to discharge on Tuesday night she was having vision problems and very drowsy at this point. Was grinding teeth when she first got there. Gave large dose of Haldol and Ativan to calm as she was fighting them. Did ct ekg labs chest xray. Wbc 16.2 at admit to er. They gave her vanc am primaxin and acyclovir then redid land in morning which showed wbc down to 6.6 they said no infection. They did spinal tap also
Brief Answer:
Agree with the treatment.
Detailed Answer:
Hi,
Thank you for posting your query.
I have noted your daughter's symptoms and they are suggestive of acute central nervous system infection such as encephalitis (brain fever). In addition to spinal tap, MRI brain would also help in confirming the diagnosis. EEG should be done to exclude any seizures. Also, anti-epileptic drugs may be added to prevent any seizures.
She would improve with the current line of treatment and I agree with that. Reduction in WBC counts is also a good news.
I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in
Agree with the treatment.
Detailed Answer:
Hi,
Thank you for posting your query.
I have noted your daughter's symptoms and they are suggestive of acute central nervous system infection such as encephalitis (brain fever). In addition to spinal tap, MRI brain would also help in confirming the diagnosis. EEG should be done to exclude any seizures. Also, anti-epileptic drugs may be added to prevent any seizures.
She would improve with the current line of treatment and I agree with that. Reduction in WBC counts is also a good news.
I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
But we were told she had no infection. Also had some similar cases with 3 other women misdiagnosed and one dying from a fungal infection in brain. How do we go about quickly getting her into Neurologist without going through er
Brief Answer:
Spinal tap would confirm.
Detailed Answer:
Thank you for getting back.
The infection can be confirmed by spinal tap. The WBC count in the spinal tap (cerebrospinal fluid-CSF) should be less than 5, if there is no infection. If it is more than 5, it suggests in infection.
Also, the protein in CSF would be raised and sugar low.
CSF can be sent for fungus, bacteria and virus studies (such as smear, culture and DNA PCR) to confirm the type of infection.
You can directly contact a neurologist.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Spinal tap would confirm.
Detailed Answer:
Thank you for getting back.
The infection can be confirmed by spinal tap. The WBC count in the spinal tap (cerebrospinal fluid-CSF) should be less than 5, if there is no infection. If it is more than 5, it suggests in infection.
Also, the protein in CSF would be raised and sugar low.
CSF can be sent for fungus, bacteria and virus studies (such as smear, culture and DNA PCR) to confirm the type of infection.
You can directly contact a neurologist.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
They are all telling us they need referral. .... so it's Normal to walk around undressed from waist down. . Forget that she has a baby is five months old. Or be able to follow directions? Her sodium was low at 126. Wbc 16.2. She was fighting staff at hosp. And very drowsy. I don't mean to b bothersome but what are chances this will happen again. She has a baby that was the only other person in the house. What if the baby gets hurt?
Brief Answer:
With treatment, she would get better.
Detailed Answer:
Thank you for getting back.
It is abnormal to remain undressed and pass urine in clothes. This suggests a seizure. Low sodium can also cause behavioural changes.
Medications to prevent seizures should be given to prevent a recurrence of seizure. For a few days, she should not be left alone.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
With treatment, she would get better.
Detailed Answer:
Thank you for getting back.
It is abnormal to remain undressed and pass urine in clothes. This suggests a seizure. Low sodium can also cause behavioural changes.
Medications to prevent seizures should be given to prevent a recurrence of seizure. For a few days, she should not be left alone.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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