[Serum hydrogen sulfide levels in children with benign infantile convulsions associated with mild gastroenteritis]
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Updated: Apr 20, 2026

A Sensitive Visual Method for the Detection of Hydrogen Sulfide Producing Bacteria
Published on: June 27, 2022
Yuan-Da Zhang1, Fang Gu, Hui-Qing Xie
1Baoding Children's Hospital, Baoding, Hebei 071000, China. ydzhang666@163.com.
Insights
Serum hydrogen sulfide (H2S) levels are significantly lower in children with benign infantile convulsions associated with mild gastroenteritis (BICE). Lower H2S levels correlate with increased seizure frequency and duration in these pediatric patients.
Area of Science:
- Biochemistry
- Pediatric Neurology
Context:
- Benign infantile convulsions associated with mild gastroenteritis (BICE) are a common pediatric concern.
- The role of endogenous gasotransmitters like hydrogen sulfide (H2S) in neurological conditions is an emerging area of research.
Purpose:
- To investigate the serum levels of hydrogen sulfide (H2S) in children diagnosed with BICE.
- To determine the correlation between serum H2S levels and the clinical characteristics of convulsions in BICE patients.
Summary:
- Serum H2S levels were significantly lower in children with BICE compared to controls with acute gastroenteritis alone.
- A negative correlation was observed between serum H2S levels and the number of convulsions.
- Convulsion duration exceeding 5 minutes was also negatively correlated with serum H2S levels, suggesting a potential role in seizure severity.
Impact:
- Findings suggest that reduced endogenous H2S may contribute to convulsions in BICE.
- The degree of H2S reduction is linked to seizure frequency and duration.
- Further research is warranted to elucidate the clinical implications of these biochemical alterations in pediatric epilepsy.
Objective:
To study the changes and significance of serum hydrogen sulfide (H2S) levels in children with benign infantile convulsions associated with mild gastroenteritis (BICE).
Methods:
Forty-two hospitalized children diagnosed with BICE were recruited to the observation group, and 46 children admitted due to acute gastroenteritis alone were recruited to the control group. Serum H2S levels were measured by a spectrophotometer.
Results:
The serum H2S level in the observation group was significantly lower than in the control group (28±12 μmol/L vs 45±10 μmol/L; P<0.01). The patients with a number of convulsions greater than or equal to two had significantly lower serum H2S levels than those with a number less than two (P<0.05). The number of convulsions was negatively correlated with serum H2S level in BICE patients (r=-0.485, P=0.001). When a convulsion exceeded 5 minues in duration, the duration was negatively correlated with serum H2S level (r=-0.736, P=0.004).
Conclusions:
The reduction in endogenous H2S level might be one of the causes of convulsions in BICE patients. The degree of reduction in H2S level is associated with the number of convulsions and the duration of convulsion (when it exceeds 5 minues). Further investigation is needed to determine the clinical significance of these results.
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