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Published on: July 12, 2021
Human Herpes Virus Type 6 and Febrile Convulsion
Mohammad Mehdi Houshmandi1, Alireza Moayedi2, Mohammad Bagher Rahmati3
1.Pediatrician, Clinical Research Development Center of Children Hospital, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Insights
Human herpesvirus type 6 (HHV-6) infection was investigated in children with febrile convulsions (FC). While clinical signs were similar, HHV-6 infection was linked to prolonged postictal phases and seizures occurring within one hour of fever onset.
Area of Science:
- Virology
- Pediatrics
- Infectious Diseases
Background:
- Febrile convulsions (FC) are common in children aged 6 months to 5 years.
- The role of human herpesvirus type 6 (HHV-6) in FC requires further investigation.
Purpose of the Study:
- To determine the prevalence of HHV-6 infection in children admitted with FC.
- To compare clinical manifestations and outcomes between HHV-6 infected and non-infected FC patients.
Main Methods:
- A cross-sectional study involving 118 children (6-60 months) with FC.
- Blood samples were collected at admission and 10 days post-admission for HHV-6 IgG detection via ELISA.
- Statistical analysis (t-test, X2) was used to compare groups.
Main Results:
- HHV-6 infection was detected in 23 out of 53 (43.4%) participants.
- No significant differences in age, gender, or common clinical symptoms (rhinorrhea, diarrhea, vomiting, lethargy) were observed.
- Prolonged postictal phase (>15 min) and seizures within 1 hour of fever onset were significantly more frequent in the HHV-6 infected group.
Conclusions:
- HHV-6 infection prevalence in FC patients was 43.4% in this cohort.
- While general clinical presentations did not differ, HHV-6 infection was associated with specific seizure characteristics.
- These findings suggest HHV-6 may influence seizure duration and timing relative to fever onset in children.
Objective:
Febrile Convulsion (FC) is occurred in 6 months to 5 yr old children. The aim of this study was to investigate the prevalence of HHV-6 infection in FC admitted patients of Bandar Abbas Children Hospital, southern Iran.
Materials & Methods:
In a cross-sectional study, 118 children aged 6-60 months who had FC were selected by a simple random method in 2010-11. Demographic data, clinical manifestation and two blood samples gathered to assess the human herpes virus type 6 (HHV6). Blood sample obtained at the time of admission and 10 days after the first examination. ELISA was used to detect HHV-6 IgG. The subjects were studied in two groups with and without infection of HHV-6. Two groups were compared by t-test and X2.
Results:
Fifty-three subjects completed the study, including 30 boys (56.6 %) and 23 girls (43.4%). The HHV-6 infection was detected in 23 patients out of 53 studied subjects. The mean of age for the groups with and without HHV-6 infection was 19.7±9.7 and 20.4±10.2 months old, respectively. The most common clinical presentation in both groups was rhinorrhea, diarrhea, vomiting and lethargy without any significant difference between two groups. Five patients (21.7%) in HHV-6 group and 1 patient (3.3%) in HHV-6 negative group had postictal phase more than 15 minutes (P<0.05). Convulsion within 1 hour from beginning of fever was more frequent in HHV-6 infection group than the other group (P<0.01).
Conclusion:
There was not any difference in terms of age group, gender and clinical manifestation of infected and non-infected children with FC. Postictal phase and seizure during 1 hour after the fever were significantly different between two groups.
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Seizures: Classification
Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:
Types of Fever
Here are the different types of fever:

