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OBJECTIVES: To determine the association of meningitis among children 1-18 months of age with first attack of fever and seizure but examination finding of meningitis are absent. METHODOLOGY: This Descriptive (cross sectional) Study with Consecutive non-probability sampling technique was carried out at Pediatric Department, Ayub Teaching Hospital Abbottabad from 2nd August 2014 to 3rd February 2015. A total of 165 children with fever and seizure but examination findings of meningitis were absent included in this study. RESULTS: This study reveals that 35% children were in age range 1-6 months; 40% children were in age range 7-12 months and 25% children were in age range 13-18 months. Average age was 8 months with standard deviation ±1.26. Sixty percent children were male while 40% children were female. The status of meningitis was analyzed as the frequency of meningitis in children with fever and seizure without symptoms of meningitis was 3%. CONCLUSION: In this study, we saw the association of meningitis amongst children with fever and seizure without signs of meningitis were 3% which showed that meningitis may present with fever and seizures in the non-appearance of symptoms of meningitis which leads to the significances of missing solitary case of meningitis is dreadful and the early detection may avert sinister consequences. [ABSTRACT FROM AUTHOR]