Case Report on Management Hydrocephalus as a Complication of Meningitis in Infant; Nurse Prospective

Introduction: Hydrocephalus is one of the commonest complications of meningitis in children with the disease. It is more severe in children than in adults. Fewer cases cause chronic Meningitis. Finding and treating the culprit organism is quite tough. In patients with chronic meningitis, complications such as hyponatremia, hydrocephalus, and neurological impairment should always be identified early and treated with a multidisciplinary team approach. We came across a case of severe brain damage due to Escherichia coli that progressed to meningitis which further also cause hydrocephalus, which she was treated for numerous times before being returned home with some neurological disability.

Clinical Findings: A 1.5 month old female child was brought to A.V.B.R. Hospital Sawangi (meghe) wardha on date 18th November 2021 by her parents with High fever, refusal of feed, seizures like activity, bulging fontanel.

Diagnostic Evaluation: Hb: 10.7, TLC : 21,500 . platelet: 5.1 eql CBC , elevated WBC count of 23,511/ul KFT and LFT are normal , Brain MRI showed restricted diffusion, Lumbar Puncture was also performed same day E.coli gram negative bacteria are present in CSF collection

Therapeutic intervention: Injection Ceftriaxone 650 mg 6 hourly intravenous, Injection Pan 15 mg 24 hourly intravenous, Injection Emeset 2 ml 4 hourly intravenous DNS with injection KCL 3.8 ml 8 hourly intravenous.

Outcome: After treatment of 6 days the child show improvement like fever and seizers decreased.

Conclusion: After proper treatment like medication, monitoring vitals and also by continous observation her condition was improved.