This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: CNS infections, Subject name: Pediatrics
[{'content': 'An 18 month baby with poor feeding & fever since 3 days is brought with lower limb weakness. On examination, he has lethargy, abnormal movement of lower limbs & anterior fontanelle is bulging. What is the diagnosis: \nSelect and explain. \nA. Intra cranial hemorrhage, B. Psuedotumor cerebri, C. Meningitis, D. Cerebral palsy', 'role': 'user'}, {'content': 'Answer: C \nExplanation: Given case scenario suggests the diagnosis of Meningitis BACTERIAL MENINGITIS: MC organism causing Bacterial Meningitis in neonates - E.coli , Group B streptococci In Infants & older children - streptococcus pneumoniae Clinical features in infants & Neonates: Irritability Shrill cry Seizures Tense, bulging anterior fontanelle Diagnosis: CSF examination PCR to detect bacterial DNA Treatment: Empirical intravenous therapy with third generation Cephalosporin. Therapy is usually administered for 3 weeks in neonates and for 7-10 days in older children. Note: Nuchal rigidity and Kernig and Brudzinski signs are frequently seen in adults but are not present in the neonate with meningitis. Other option: Intracranial hemorrhage - Would not cause fever.', 'role': 'assistant'}]