Cases reported "Seizures, Febrile"

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1/2. Convulsions with fever as a presenting feature of bacterial meningitis among preschool children in developing countries.

    The authors report 522 infants and young children aged between one month and six years who presented with convulsions and fever as emergencies in nigeria. 22 had bacterial meningitis, six of whom lacked the usual signs of meningitis. Although features of complex febrile convulsions were significantly associated with bacterial meningitis, it is concluded that, as an aid to the early diagnosis of bacterial meningitis, all preschool children convulsing with fever in developing countries should have a lumbar puncture. This may reduce the contribution of meningitis to chronic neurological disabilities. The necessity for such a policy is illustrated by a case report of a young infant with convulsions and fever caused by meningitis, seen at a general hospital.
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2/2. Febrile seizures.

    The definition, prevalence, characteristics, genetics, and causes of febrile seizures are discussed in this article. Acute management is outlined, including indications for lumbar puncture and treatment of the febrile child who is continuing to seize. The usefulness and limitations of the EEG are noted. Factors influencing the likelihood of further febrile seizures and the risk of later epilepsy are reviewed. The pros and cons of continuous and intermittent drug therapies for febrile seizure prophylaxis are summarized. A new double-blind randomized study of intermittent oral diazepam for the prevention of febrile seizure recurrences is described.
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