One of the commonest seizures of childhood is febrile seizures. The presentation of these seizures is either simple or complex. Seizures in children aged 6 months to 6 years who previously were normal neurologically/developmentally fit to the diagnosis of febrile seizures. However, seizures remain a common presentation in children with neuro infections. A retrospective study of CSF pleocytosis inthe cases with first episode of complex febrile seizures admitted to a tertiary care rural hospital although gave a low yield for ABM, the yield was significantly higher in children aged <1 year. Thus it becomes imperative to evaluate children <1yr having the first episode of complex febrile seizures with lumbar puncture to rule out neuro infections.

Keywords: Complex Febrile Seizure; Acute Bacterial Meningitis; CSF Pleocytosis; Neuro Infections.