J Korean Soc Emerg Med.
2020 Oct;31(5):466-474.
Clinical characteristics of the respiratory virus in children with febrile convulsion
- Affiliations
-
- 1Department of Emergency Medicine, Wonkwang University Hospital, Iksan, Korea
- 2Department of Pediatrics, Jeonbuk National University Hospital, Jeonju, Korea
Abstract
Objective
This study aimed to clarify the relationship between several viral infections and clinical features of febrile seizures. The clinical expression pattern was determined according to the virus.
Methods
Data were collected on patients who visited the emergency room with febrile seizures from March 2016 to February 2019. The clinical characteristics of seizures and the clinical differences between each respiratory viral infection were analyzed. The severity of febrile seizures was measured by checking complex febrile seizures and electroencephalogram abnormalities.
Results
Of the 227 febrile convulsions, 138 (60.8%) were men, and 89 (39.2%) were women. Sixty-five patients (28.6%) had a family history of febrile seizure, 68 (30.0%) had complex seizures, and 13 (7.1%) had electroencephalogram (EEG) abnormalities. Of the 13 respiratory viruses examined, rhinoviruses were detected more significantly in 63 patients (32.4%), but there was no significant difference when comparing the rate of febrile seizure among patients with fever. There were no significant differences in the clinical features, such as body temperature, duration, and complex seizure. In addition, each virus showed a similar incidence of EEG abnormalities.
Conclusion
No significant difference in the clinical features and objective examination according to the virus were observed, and the tendency of developing febrile seizures is similar.
