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Published on: January 28, 2019
Clinical characteristics of benign convulsions with rotavirus gastroenteritis
Masashi Motoyama1, Takashi Ichiyama, Takeshi Matsushige
1Department of Pediatrics, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi, Japan.
Insights
Carbamazepine effectively treated benign convulsions in infants with rotavirus gastroenteritis. This treatment showed a high success rate, with most patients experiencing no further seizures after administration.
Area of Science:
- Pediatrics
- Infectious Diseases
- Neurology
Background:
- Gastroenteritis, particularly rotavirus infections, can precipitate convulsions in young children.
- The specific characteristics and management of these convulsions require further investigation.
Purpose of the Study:
- To investigate the clinical features of convulsions associated with rotavirus gastroenteritis in infants and toddlers.
- To evaluate the efficacy of carbamazepine in managing benign convulsions linked to rotavirus gastroenteritis.
Main Methods:
- Retrospective analysis of hospital records for 106 patients with rotavirus gastroenteritis (February 2002 - April 2008).
- Categorization of convulsion types (benign, febrile seizures, epilepsy) and comparison of clinical parameters (body weight, serum creatinine, electrolytes) between groups.
- Assessment of carbamazepine treatment outcomes in patients with benign convulsions.
Main Results:
- Twenty-three out of 106 patients experienced convulsions; 13 had benign convulsions.
- Patients with benign convulsions exhibited milder gastroenteritis symptoms and lower serum sodium and chloride levels upon admission.
- Carbamazepine (5 mg/kg) was effective in 12 out of 13 patients with benign convulsions, preventing further seizures.
Conclusions:
- Benign convulsions associated with rotavirus gastroenteritis are characterized by milder illness and electrolyte imbalances.
- Carbamazepine demonstrates significant efficacy in treating benign convulsions secondary to rotavirus gastroenteritis in pediatric patients.
Abstract:
Convulsions sometimes occur in infants and toddlers with mild gastroenteritis. We retrospectively investigated the hospital records of 106 patients admitted to our hospital who had rotavirus gastroenteritis from February 2002 to April 2008. There were 23 patients with convulsions, including 13 with benign convulsions, 9 with febrile seizures, and 1 with epilepsy. Gastroenteritis in patients with benign convulsions was mild from the viewpoint of body weights and serum creatinine concentrations on admission and the duration of admission. Serum Na(+) and Cl(-) concentrations of patients with benign convulsions were relatively lower than those without convulsions on admission (P = .006, and P = .008, respectively). Twelve of thirteen patients had no other seizures after oral administration of 5 mg/kg of carbamazepine, while 1 patient had 1 convulsion 15 minutes after the therapy. In conclusion, carbamazepine therapy was effective for benign convulsions with rotavirus gastroenteritis.
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