Prevalence of bacterial illness in child presenting with first simple febrile seizure
Journal Title: Medpulse International Journal of Pediatrics - Year 2018, Vol 8, Issue 1
Abstract
Background: Febrile convulsion is a most common convulsive disorder of childhood and comprising of frequent visits in emergency department. The issue of whether a well appearing child presenting with an FSFS is at increased risk for bacterial meningitis has remained controversial and if missed can lead fatal complications. Aim: To find out the prevalence of serious bacterial illness (SBI) in children presenting with first simple febrile seizure.Material and Methods: This prospective study was carried out in total 102 patients of between 6 months and 5 years of age group admitted with first simple febrile seizure (according to AAP criteria).Results: Out of 102 cases, 21 (20.6%) cases were attributed to bacterial in origin. On blood culture, 16 showed growth of bacteria. Out of which 8 (50%) were CONS, 6 (37.5%) Streptococcus pneumoniae and 2 (12.5%) were Pseudomonas aeruginosa. Hence, significant bacteremia was present in 8 (7.8%) cases and 75% cases were within two years of age. A total of 17 abnormal CSF was found and 4 cases showed organisms on Gram staining. All were Gram positive cocci. Conclusion: Children, especially under one-year age group and male gender, if they present with febrile seizures should be screened for probable presence of bacterial meningitis.
Authors and Affiliations
Pallavi . , Priyanka Akka
Keywords
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