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J Korean Soc Emerg Med > Volume 31(5); 2020 > Article
Journal of The Korean Society of Emergency Medicine 2020;31(5): 466-474.
열성 경련 아동에서 호흡기 바이러스 종류에 따른 임상적 특징
허준호1 , 한민정2 , 김선준2
1원광대학교병원 응급의학과
2전북대학교병원 소아청소년과
Clinical characteristics of the respiratory virus in children with febrile convulsion
Jun Ho Heo1 , Min Jeong Han2 , Sun Jun Kim2
1Department of Emergency Medicine, Wonkwang University Hospital, Iksan, Korea
2Department of Pediatrics, Jeonbuk National University Hospital, Jeonju, Korea
Correspondence  Sun Jun Kim ,Tel: 063-250-1460, Fax: 063-250-1464, Email: sunjun@jbnu.ac.kr,
Received: October 21, 2019; Revised: May 9, 2020   Accepted: June 16, 2020.  Published online: October 30, 2020.
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.
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.
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.
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.
Key words: Febrile convulsion; Respiratory virus; Emergency room
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