Febrile Convulsive Stauts in Children in Oran Algeria

Background: Status epilepticus accompagned with fever in children had a significant risk of central nervous system infection. It may be due to an infection of the nervous système or systemic infection.

The objective of this study is to determine the rate of CNS infections .

Methods: This was a retrospective study of patients admitted in pediatric intensive for Febrile status epilepticus in Oran over 1 year during 2018.

Results: 18 children presented with feveril seizure. The mean age was 30 months ± 42. The convulsions were tonic-clonic generalized in 13 cases (72%) and focalized in 5 (27%). The average temperature was 38.7 °. The mean Glasgow was 9 and the CSF cytology 198 ± 300 cells. The anticonvulsant treatment was mainly midazolam at a rate of 0.5 mg / kg / with a ventilation and sedation duration of 7 days ± 7 and. Brain imaging (CT, MRI) had shown that CNS infections accounted for 61% (7 cases of meningoencephalitis; 4 cases of meningitis) . The other infections were urinary tract infections 3 cases, ENT 3 cases and gastrointestinal infections 1 case. The length of stay was 9 days ± 7 with a mortality rate of (0.05%).

Conclusion: Febrile convulsive satuts represents a significant risk factor for CNS infection, therefore the etiologic work up should be directed to search the type of infection in order to treat appropriately.