Following a routine immunisation a 9 month old child developed vomiting and drowsiness. On examination there was bulging of anterior fontanelle. Fundoscopy revealed papilledema. The child developed cranial nerve palsies within a few hours. Inspite of all these findings the child was afebrile with clear chest. What is the MOST probable diagnosis?
Correct Answer: Vit A toxicity
Description: The condition described here is pseudotumor cerebri. Along with the vaccination the child may have received a bolus dose of Vit A which might have precipitated the toxicity. In meningitis the child is usually febrile. In astrocytoma the progression occurs gradually. Ref: Nelson, Edition 17, Page - 180.
Category:
Pediatrics
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