Currently, there is no standardized approach to the management of @entity410 in @entity1 and there are no published practice guidelines for the procurement of neuroimaging. Presented is a 2-year-old female @entity1 who experienced a 3- to 5-minute episode of staring and @entity2133 twitching associated with high fever. On initial presentation, the @entity1 appeared well and had a normal neurological examination. No focus of @entity281 was identified, and she was diagnosed with @entity410 . The @entity1 was discharged home with close neurology and primary care follow-up but returned the following day with @entity1032 , toxic appearance, and right lower @entity425 . Magnetic resonance imaging of the brain revealed left-sided cranial @entity3509 and the @entity1 was managed with antibiotics and surgical drainage. A literature review to answer the question "Do @entity1 with @entity410 require emergent neuroimaging?" yielded a small number of retrospective reviews describing the utility of computed tomography, magnetic resonance imaging and lumbar puncture in the work-up of @entity410 . Current evidence indicates that neuroimaging is not indicated in an otherwise healthy @entity1 who presents with @entity410 if the @entity1 is well appearing and has no evidence of focal @entity51 on examination. As this case demonstrates, however, serious conditions such as @entity693 and @entity867 (though rare) should be considered in the differential diagnosis of @entity410 and physicians should remain aware that the need for neuroimaging and/or lumbar puncture may arise in the appropriate clinical setting.

@entity867 Presenting as a XXXX .

@entity1 :: ('9606', 'Species') :: ['children', 'patient', 'child'] @entity410 :: ('MESH:D012640', 'Disease') :: ['complex febrile seizures', 'complex febrile seizure', 'febrile seizures'] @entity1032 :: ('MESH:D008607', 'Disease') :: ['altered mental status'] @entity2133 :: ('MESH:D014987', 'Disease') :: ['unilateral mouth'] @entity3509 :: ('MESH:D004653', 'Disease') :: ['empyema'] @entity425 :: ('MESH:D018908', 'Disease') :: ['extremity weakness'] @entity693 :: ('MESH:D008581', 'Disease') :: ['meningitis'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infection'] @entity51 :: ('MESH:D009461', 'Disease') :: ['neurological deficit'] @entity867 :: ('MESH:D001922', 'Disease') :: ['brain abscess']
@entity410 :: (MESH:D012640,Disease) :: ['Complex Febrile Seizure']
