BACKGROUND AND OBJECTIVE:
Febrile convulsion (FC) is defined as a seizure triggered by fever in children between 6 months and 5 years of age without an underlying central nervous system infection. It is the most common cause of convulsion in childhood, and 3% to 4% of children experience FC at least once by 7 years of age. The objective was to evaluate clinical features, including demographics, laboratory findings, causes of fever, and FC duration among inpatients diagnosed and treated for FC.
A total of 238 patients with the diagnosis of FC between May 2009 and May 2012 were included in the study. Demographic, clinical, and laboratory data of the patients were analyzed.
One hundred thirty-nine patients (58.5%) were male and 99 (41.5%) were female, for a male/female ratio of 1.4. Mean age of patients admitted with a first FC was 2.2 ± 1.1 years. The mean temperature measured rectally during the seizure was 38.7°C ± 0.5°C. Febrile convulsion was diagnosed as simple type in 198 (83.2%) and complex type in 40 (16.8%) of patients. Thirty-three (13.8%) patients developed a second seizure within 24 hours. Median convulsion duration was 2 minutes (range, 1–5). The most common fever etiology was upper respiratory tract infection, occurring in 131 (55%) cases.
Benign conditions, such as upper respiratory tract infections, are common causes of FC. A conservative approach is most appropriate in these cases.
- Copyright © 2015 by the American Academy of Pediatrics