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Arch Pediatr Adolesc Med. 1998;152:100-101.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

The anterior fontanel is one of evolution's gifts to physicians who care for children. Pathological prominence or "bulging of the fontanel" is supposed to be a sine qua non of acute bacterial meningitis in infants. Review of multiple early and current texts in pediatrics and infectious diseases failed to disclose a satisfactory explanation for the pathophysiology of the bulging fontanel in meningitis. A computed tomographic head scan of an infant who had this sign early in the course of acute bacterial meningitis helped elucidate its pathogenesis.

Patient Report

At noon on the day of admission, a 6-month-old girl came to the St Louis Children's Hospital (St Louis, Mo) emergency department for an evaluation of a fever and crying with neck movement. She had been treated for the preceding several days for wheezing. The infant had a pulse rate of 168/min, a respiratory rate of 44/min, and a temperature of 36°C. Results of . . . [Full Text of this Article]

Comment
Corresponding author: Steven Rothman, MD, Department of Neurology, One Children's Place, St Louis, MO 63110 (e-mail: rothman@kids.wustl.edu).

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Bulging Anterior Fontanel
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Arch Pediatr Adolesc Med 1998;152:608-608.
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