Background: Neonatal seizures or neonatal convulsions are epileptic fits occurring from birth to the end of the neonatal period. Neonatal seizures are a common neurological problem with a frequency of 1.5-14/1000 neonates. Neonatal seizure is common in this part of the Telangana and there was paucity of data from this area. Identification of etiology will help in management there by reducing morbidity and mortality.Methods: This prospective study was done in NICU of S.V.S. Medical College and Hospital, Mahabubnagar, from Jan 2016 to Jan 2017. Term neonates with clinically identifiable seizure were included in the present study. This study was approved by institutional ethical committee and written consent was obtained from parents of the studied neonates.Results: Of 84 studied neonates, 46 were males and 38 were females. 29 neonates had seizures within first 24 hours and 22 neonates had seizures on day 2. Perinatal asphyxia was seen in 28 neonates and septicemia was seen in 21 neonates.Conclusions: Perinatal asphyxia was the most common cause for neonatal seizures in term neonates, followed by septicaemia and metabolic disturbances.

Stenotrophomonas maltophilia is a rare cause of early onset neonatal sepsis. The extensive resistance of this organism to several antibiotics leaves fewer options for antimicrobial therapy. A few cases were reported in neonates. We present a case of early onset sepsis in a neonate caused by Stenotrophomonas maltophilia. The newborn was born preterm and presented with respiratory distress within two hours of birth. Stenotrophomonas maltophilia is a rare cause early onset neonatal sepsis with significant morbidity and mortality.