Has the Incidence of Febrile Convulsions in Childhood Changed During the SARS-CoV-2 Pandemic?

Monika Kovacs1, Lilla Makszin2, Zoltan Nyul1

  • 1Faculty of Medicine, Department of Pediatrics, University of Pecs, Pecs, Hungary.

PubMed

Insights

The coronavirus pandemic did not increase the number of children experiencing febrile convulsions. SARS-CoV-2 infection is unlikely to raise the risk of febrile convulsions in pediatric patients.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Neurology

Background:

  • SARS-CoV-2 (Severe Acute Respiratory Syndrome Coronavirus 2) infection in children often presents asymptomatically or with mild symptoms.
  • Febrile convulsions are a common concern in pediatric neurology.

Purpose of the Study:

  • To evaluate the incidence of febrile convulsions in pediatric patients during the COVID-19 pandemic.
  • To compare the rate of febrile convulsions during the pandemic with a pre-pandemic control period.

Main Methods:

  • Retrospective analysis of pediatric patients presenting with febrile convulsions at a University Hospital from March 2020 to March 2022.
  • Comparison with a control group of children admitted for febrile convulsions from January 2018 to January 2020.

Main Results:

  • 51 pediatric patients with febrile convulsions were assessed during the pandemic.
  • SARS-CoV-2 infection was confirmed in 7.8% of these cases, with 3 occurring during the Omicron variant surge.
  • The incidence of febrile convulsions during the pandemic was not higher than in the pre-pandemic control period.

Conclusions:

  • The number of children presenting with febrile convulsions did not increase during the COVID-19 pandemic compared to the control period.
  • Current evidence suggests that SARS-CoV-2 infection is unlikely to be a significant risk factor for febrile convulsions in children.

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