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A Model for Epilepsy of Infectious Etiology using Theiler's Murine Encephalomyelitis Virus
Published on: June 23, 2022
Relationship between five common viruses and febrile seizure in children
1Division of Neurodevelopmental Paediatrics, Department of Paediatrics and Adolescent Medicine, Queen Mary Hospital, The University of Hong Kong, Hong Kong SAR, China.
Insights
The risk of febrile seizures (FS) is similar for influenza, adenovirus, and parainfluenza infections, but higher than for RSV or rotavirus. Viral type does not predict complex FS features or recurrence in children.
Area of Science:
- Pediatrics
- Infectious Diseases
- Neurology
Background:
- Febrile seizures (FS) are common in children.
- Identifying the role of specific viral infections in FS is crucial for understanding disease etiology and recurrence.
- Previous studies have suggested associations between various viruses and FS, but comparative risk data is limited.
Purpose of the Study:
- To compare the relative risk (RR) of developing febrile seizures (FS) associated with common viral infections.
- To investigate the risk factors for FS recurrence following different viral etiologies.
Main Methods:
- A retrospective study matched medical records of children admitted with FS to records of febrile illnesses caused by influenza, adenovirus, parainfluenza, RSV, and rotavirus.
- Relative risk (RR) of FS following these viral infections was calculated.
- Multivariate analysis identified risk factors for recurrence in first-time FS patients.
Main Results:
- Influenza, adenovirus, and parainfluenza showed similar, higher incidences of FS compared to RSV and rotavirus.
- The risk of developing complex FS was consistent across the five studied viruses.
- The overall FS recurrence rate was 20.5%, not predicted by the type of viral infection.
Conclusions:
- Influenza, adenovirus, and parainfluenza present a similar risk for febrile seizures.
- RSV and rotavirus are associated with a lower risk of febrile seizures.
- The specific viral agent does not influence the likelihood of complex FS features or future seizure recurrence.
Objectives:
To examine the role of viruses in febrile seizures (FS) by comparing the relative risk (RR) of developing FS with common viral infections and subsequent risk of recurrence.
Methods:
We matched the medical records of all children admitted with FS over 5 years and the contemporary records for all admissions for febrile illnesses associated with influenza, adenovirus, parainfluenza, respiratory syncytial virus (RSV) and rotavirus to calculate the RR of FS following these viral infections. For patients admitted for a first FS, we carried multivariate analysis for type of viral infection, age of onset, family history, complex FS features and maximum temperature during the episode, to identify the risk factors for recurrence.
Results:
There were 923 admissions for FS, of which 565 were for first seizures. The five most common viruses in FS were influenza (163/923, 17.6%), adenovirus (63/923, 6.8%), parainfluenza (55/923, 6%), RSV (25/923, 2.7%) and rotavirus (12/923, 1.3%). Incidences of FS in febrile illnesses due to these viruses were 20.8% (163/785) for influenza, 20.6% (55/267) for parainfluenza, 18.4% (63/343) for adenovirus, 5.3% (25/468) for RSV and 4.3% (12/280) for rotavirus. Complex FS occurred in 20.6% (n = 191) and the risk of developing complex FS was similar for the five viruses. Overall recurrence rate was 20.5% and was not predicted by type of viral infection.
Conclusion:
The risk of developing FS is similar with influenza, adenovirus or parainfluenza and is higher than with RSV or rotavirus. Type of viral infection is not important in predicting complex features or future recurrences.
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