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Els Bruneel, MD; Philippe Gillis, MD; Marc Raes, MD; Peter Donkersloot, MD; Hendrik Duyvendak, MD; Philippe Alliet, MD; Beverly P. Wood, MD
From the Department of Pediatrics (Drs Bruneel, Gillis, and Raes) and the Department of Neurosurgery (Drs Donkersloot, Duyvendak, and Alliet), Virga Jesse Hospital, Hasselt, Belgium; and the Department of Radiology, Children's Hospital Los Angeles, Los Angelis, Calif (Dr Wood).

Arch Pediatr Adolesc Med. 1998;152:297-298.

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

A 2-MONTH-OLD boy presented with a 7-day history of fever. Despite antibiotic therapy for pharyngitis, his fever persisted and he started to vomit and became irritable. On 2 occasions, the mother noticed short myoclonic contractions of the left arm and leg .

Medical history includes a fever on the second day of life, attributed to viral gastroenteritis.

Physical examination showed an irritable infant with macrocephaly (head circumference, 42.5 cm; 97th percentile, 42 cm) and gray, poorly perfused skin. The anterior fontanel was bulging and his eyes demonstrated a sunset sign. He lay spontaneously with his neck extended. The peripheral blood showed a white blood cell count of 24.9x 10⁹/L. The blood culture was sterile. Results of a lumbar puncture and analysis of the cerebrospinal fluid showed . . . [Full Text of this Article]