Oral microbiota characteristics in children younger than 3 years with febrile seizures: a prospective observational

Nan Shen1, Xiaoxue Shan1, Lu Zheng1

  • 1Department of Pediatrics, The Affiliated Suqian Hospital of Xuzhou Medical University, Suqian, People's Republic of China.

BMC Microbiology
|July 7, 2026
PubMed

Insights

Febrile seizures (FS) in young children are linked to changes in oral bacteria. Specific bacterial genera were found to be either increased or decreased in children experiencing FS, indicating an altered oral microbiome.

Area of Science:

  • Microbiology
  • Pediatrics
  • Genomics

Background:

  • The oral microbiota plays a crucial role in early childhood development and health.
  • Alterations in the oral microbiome have been implicated in various health conditions.
  • Understanding the oral microbiome in febrile seizures (FS) may provide insights into disease mechanisms.

Purpose of the Study:

  • To investigate the oral microbiota composition and function in children younger than 3 years with febrile seizures (FS).
  • To identify specific bacterial taxa and metabolic pathways associated with FS in early childhood.

Main Methods:

  • Oral swab samples were collected from 48 children with FS and 47 healthy controls.
  • Bacterial 16S rRNA gene sequencing (V4 region) was performed to analyze microbial composition.
  • Alpha-diversity (Shannon, ACE indices) and beta-diversity (weighted/unweighted UniFrac) were assessed.
  • Exploratory supervised analysis (partial least squares discriminant analysis) and predicted functional analysis were conducted.

Main Results:

  • No significant difference in Shannon diversity between FS and control groups.
  • Significantly lower ACE index in the FS group, suggesting reduced richness.
  • Enrichment of Streptococcus, Prevotella, and Granulicatella in the FS group.
  • Depletion of Neisseria, Haemophilus, Porphyromonas, and Capnocytophaga in the FS group.
  • Predicted functional analysis indicated alterations in translation, replication, metabolism, and infectious disease pathways.

Conclusions:

  • Febrile seizures are associated with a selective ecological reconfiguration of the early-life oral microbiota.
  • Altered proportions of key oral bacterial genera are a primary feature of the FS-associated microbiome.
  • These findings highlight the potential role of the oral microbiome in the pathogenesis or as a biomarker of febrile seizures.

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