Caracterización de pacientes con convulsión febril simple en urgencias del Hospital San José

BackgroundFebrile seizures are a common pediatric problem, which occurs in children between 3 months and 5 years of age; generally they have a benign prognosis. However, there are few studies in Colombia about their behavior and there is unawareness of the characteristics in our population.ObjectivesTo describe patients aged 3 months to 5 years who were seen at the Pediatric Emergency Department of Hospital San José for simple febrile seizures.MethodsWe describe a case series of children fulfilling simple febrile seizure criteria. Variables studies include socio-demographic, prenatal and perinatal history, family history of febrile seizure, vaccination, clinical data on seizure-associated infections and drugs used.ResultsThe median of age was 24 months (IQR 18-37), with no difference between genders. No prenatal or neonatal risk factors for febrile seizures were found; 87.5% of the children were born at term, with birth weight (median) of 3,080g (IQR 2720-33 3 0). There were no patients with recent (last 15 days) MMR immunization. The most common associated infection was upper respiratory (71.9%) followed by gastrointestinal (21%). Febrile seizure type was tonic-clonic seizures in all age groups (56.1%).ConclusionsThe findings in this study agree with those reported worldwide; however, the median age of onset of febrile seizures was later (24 months). There was also a low prevalence of perinatal risk factors and no association between the febrile seizures and the use of antihistamines or prior vaccination. This study reveals the clinical characteristics and risk factors associated with febrile seizures, which can guide future studies and the development of clinical practice guidelines