Clinical and Paraclinical Aspects of Febrile Convulsions in Children at the Ziguinchor Peace Hospital: Documentary Study
Lamine Thiam *
Assane Seck University of Ziguinchor, Ziguinchor Peace Hospital, Ziguinchor, Senegal.
Adama Coundoul
Assane Seck University of Ziguinchor, Ziguinchor psychiatric hospital, Ziguinchor, Senegal.
Isabelle Jokébé Coly
Assane Seck University of Ziguinchor, Ziguinchor Peace Hospital, Ziguinchor, Senegal.
Ndiogou Seck
Gaston Berger University of Saint Louis, Saint Louis regional hospital, Saint Louis, Senegal.
Djibril Boiro
Cheikh Anta Diop University in Dakar, Abass Ndao Hospital in Dakar, Dakar, Senegal.
Aliou Abdoulaye Ndongo
Cheikh Anta Diop University in Dakar, Aristide Le Dantec Hospital in Dakar, Dakar, Senegal.
Idrissa Basse
University of Thiès, Diamniadio children's hospital, Dakar, Senegal.
François Niokhor Diouf
Assane Seck University of Ziguinchor, Ziguinchor Peace Hospital, Ziguinchor, Senegal.
Moustapha Ndiaye
Cheikh Anta Diop University in Dakar, Albert Royer Children's Hospital in Dakar, Dakar, Senegal.
Amadou Lamine Fall
Cheikh Anta Diop University in Dakar, Albert Royer Children's Hospital in Dakar, Dakar, Senegal.
Ousmane Ndiaye
Cheikh Anta Diop University in Dakar, Albert Royer Children's Hospital in Dakar, Dakar, Senegal.
*Author to whom correspondence should be addressed.
Abstract
Introduction: Febrile seizures are seizures associated with fever in children. They represent a frequent reason for consultation in pediatric emergencies. Febrile convulsions are often qualified as benign pathologies but they are a source of concern, explaining the number of tolls imposed on these children. The aim of the study was to report the practice to a hospital in Senegal.
Materials and Methods: This is a retrospective study of children's records, from January 1, 2015 to January 31, 2020. Were included, patients aged less than or equal to 5 years, hospitalized in the pediatric department of the Ziguinchor Peace Hospital, for a febrile convulsion. Newborns and children with psychomotor development abnormalities were excluded. We have studied the clinical and etiological data.
Results: We collected 85 (51 boys, 34 girls) cases of febrile convulsions, ie a hospital frequency of 10,6%. The mean age of the patients was 23,6 months, peaking in infants 12 to 18 months. The mean temperature was 38,8° C and the seizure was tonic-clonic in 64,7%. We noted 57 cases of simple febrile convulsions (67,1%) and 28 cases of complicated febrile convulsions (32,9%). The etiology of fever was dominated by otorhinolaryngologic infections (42,4%); malaria (18,8%) and bronchopulmonary infections (08,2%). The average length of hospital stay was 02,8 days. We deplored two deaths (02,4%).
Conclusion: Febrile convulsions are common in children under 5 years old. They are secondary to respiratory tract infections and malaria.
Keywords: Febrile convulsion, child, newborns, Ziguinchor