HDN
a 1 month old baby who was just received her second dose of hepatitis B vaccination, developed fever and subsequently left sided fit.
She was treated with loading dose of iv phenytoin 20mg/kg and subsequently on maintainace dose of iv phenytoin 5mg/kg/dose,
iv drips 2/3 maintainace
iv claforan (200mg/kg/day QID) and iv acyclovir 10mg/kg/dose started.
vit K 1mg was given at birth,
CSF only RBC 10x 10^6/L.
Otherwise no organism seen, preliminary culture negative.
the CT scan showed a small bleed at the right interhemispheric region
the fit was well controlled after that.
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