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Leonard Levy, MD
Syracuse, NY

JAMA. 1970;211(10):1701.

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

To the Editor.—

Samson and his associates are to be congratulated for reminding all physicians that the diagnosis of febrile convulsions is one of exclusion only (210:1918, 1969). There is no excuse for not performing a lumbar puncture on an infant or child who has fever and a seizure, regardless of whether or not there seems to be a cause for the fever.

I think the authors are too cautious, however, by limiting their statement to "first major motor seizure." I know of no reason why an infant or child who has true febrile convulsions cannot also have meningitis and have a seizure on that basis. The label of "febrile convulser" should not allow us to rest easy when confronted with a child with fever and convulsions. . . . [Full Text PDF of this Article]

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