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What causes convulsion with fever in adults?

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Posted on Mon, 16 Mar 2015
Question: What if a adult has convulsion with fever?
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Answered by Dr. Tushar Kanti Biswas (38 minutes later)
Brief Answer:
Convulsion with fever in adult

Detailed Answer:
Hi,

Thank you for your query. I can understand your concerns.
If an adult has convulsion with fever you need to rule out CNS infection e.g. Bacterial meningitis ( e.g meningococcal meningitis), CNS tuberculosis,Viral encephalitis,Cerebral malaria,HIV infection(Seizures may be a consequence of opportunistic infections, neoplasms, or HIV encephalopathy).
HIV infection & convulsion:
Seizures are seen in 15–40% of patients with cerebral toxoplasmosis, 15–35% of patients with primary CNS lymphoma, 8% of patients with cryptococcal meningitis, and 7–50% of patients with HIV encephalopathy.In all such cases there may be accompanying fever.
Seizures may also be seen in patients with CNS tuberculosis, aseptic meningitis in association with HIV infection.
Seizures may be the presenting clinical symptom of HIV disease.In such case there may be fever also.

A lumbar puncture is indicated if there is any suspicion of meningitis or encephalitis, and it is mandatory in all patients infected with HIV, even in the absence of symptoms or signs suggesting infection.






Regards

Dr. T.K. Biswas M.D. XXXXXXX

Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Tushar Kanti Biswas

Internal Medicine Specialist

Practicing since :1975

Answered : 1909 Questions

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What causes convulsion with fever in adults?

Brief Answer: Convulsion with fever in adult Detailed Answer: Hi, Thank you for your query. I can understand your concerns. If an adult has convulsion with fever you need to rule out CNS infection e.g. Bacterial meningitis ( e.g meningococcal meningitis), CNS tuberculosis,Viral encephalitis,Cerebral malaria,HIV infection(Seizures may be a consequence of opportunistic infections, neoplasms, or HIV encephalopathy). HIV infection & convulsion: Seizures are seen in 15–40% of patients with cerebral toxoplasmosis, 15–35% of patients with primary CNS lymphoma, 8% of patients with cryptococcal meningitis, and 7–50% of patients with HIV encephalopathy.In all such cases there may be accompanying fever. Seizures may also be seen in patients with CNS tuberculosis, aseptic meningitis in association with HIV infection. Seizures may be the presenting clinical symptom of HIV disease.In such case there may be fever also. A lumbar puncture is indicated if there is any suspicion of meningitis or encephalitis, and it is mandatory in all patients infected with HIV, even in the absence of symptoms or signs suggesting infection. Regards Dr. T.K. Biswas M.D. XXXXXXX