열성 경련 아동에서 호흡기 바이러스 종류에 따른 임상적 특징
Clinical characteristics of the respiratory virus in children with febrile convulsion
허준호, 한민정, 김선준,
소속 상세정보
허준호 ( Heo Jun-Ho )
Wonkwang University Hospital Department of Emergency Medicine
한민정 ( Han Min-Jeong )
Chonbuk National University Hospital Department of Pediatrics
김선준 ( Kim Sun-Jun )
Chonbuk National University Hospital Department of Pediatrics
KMID : 0385920200310050466
Abstract
Objective: This study aimed to clarify the relationship between several viral infections and clinical features of febrile seizures. The clinical expression pattern was determined according to the virus.
Methods: Data were collected on patients who visited the emergency room with febrile seizures from March 2016 to February 2019. The clinical characteristics of seizures and the clinical differences between each respiratory viral infection were analyzed. The severity of febrile seizures was measured by checking complex febrile seizures and electroencephalogram abnormalities.
Results: Of the 227 febrile convulsions, 138 (60.8%) were men, and 89 (39.2%) were women. Sixty-five patients (28.6%) had a family history of febrile seizure, 68 (30.0%) had complex seizures, and 13 (7.1%) had electroencephalogram (EEG) abnormalities. Of the 13 respiratory viruses examined, rhinoviruses were detected more significantly in 63 patients (32.4%), but there was no significant difference when comparing the rate of febrile seizure among patients with fever.
There were no significant differences in the clinical features, such as body temperature, duration, and complex seizure. In addition, each virus showed a similar incidence of EEG abnormalities.
Conclusion: No significant difference in the clinical features and objective examination according to the virus were observed, and the tendency of developing febrile seizures is similar.
키워드
Febrile convulsion; Respiratory virus; Emergency room
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