Question

A 23-month-old girl suddenly developed vomiting symptoms, followed by diarrhea (yellow watery) after receiving anti-inflammatory medication. She then experienced convulsions, which lasted about 2 minutes each and occurred approximately every two hours, with no fever during this period. A CT scan and electroencephalogram (EEG) were normal, while abdominal ultrasound showed distension. Blood calcium levels were normal but white blood cell count was elevated. After the convulsions, the girl felt tired but slept well. Is it possible that these convulsions were caused by gastroenteritis?

Answer

Based on the information provided, the 23-month-old girl may have hypothermic convulsions caused by gastroenteritis. Further observation and related tests, such as a 24-hour EEG result, should be considered. In treatment, appropriate medication and symptomatic management should be given, along with attention to fluid and electrolyte balance. Additionally, it is recommended that parents monitor the child’s condition and communicate with the doctor in a timely manner to ensure appropriate treatment is received.