Demographic characteristics and risk factors of first febrile seizures: a Jordanian experience

F Abuekteish1, A S Daoud, M al-Sheyyab

  • 1Department of Paediatrics, Faculty of Medicine, Jordan University and Science & Technology, Irbid, Jordan.

Tropical Doctor
|June 8, 2000
PubMed

Insights

Aseptic meningitis occurred in 4% of children with first febrile seizures. Lumbar puncture is recommended for children under 2 with initial febrile seizures to rule out meningitis.

Area of Science:

  • Pediatric Neurology
  • Infectious Diseases

Background:

  • Febrile seizures are common in young children.
  • Aseptic meningitis can present with febrile seizures.
  • Early diagnosis and management are crucial.

Purpose of the Study:

  • To investigate the incidence of aseptic meningitis in children with first febrile seizures.
  • To identify risk factors and clinical characteristics associated with febrile seizures.
  • To provide evidence-based recommendations for clinical practice.

Main Methods:

  • Prospective study design.
  • Inclusion of 203 children admitted with a first febrile seizure.
  • Diagnostic workup including lumbar puncture for suspected meningitis.

Main Results:

  • Aseptic meningitis diagnosed in 4% of cases.
  • Mean age was 19.9 months, peak incidence between 6 months and 3 years.
  • Upper respiratory tract infection was the most common trigger (53%).

Conclusions:

  • Lumbar puncture should be considered in children under 2 years presenting with a first febrile seizure.
  • Lower incidence of complex febrile seizures and sibling history noted compared to other studies.
  • Highlights the importance of considering meningitis in the differential diagnosis.

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