Majallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul (Jul 2000)
The causes of fever in children with F/C, Amirkala Pediatric Hospital, 1999
Abstract
Objective: Febrile convulsion is one of the most frequent neurologic problems. Fever can occurred by any causes such as: Upper and lower respiratory infections, gastroenteritis (GE), urinary tract infections (UTI), viral infections (Such as: Rubella, rubeola, roseola infantum), followed by vaccination, infected abscesses and so on. In this survey, which is the first study in Babol university, we studied prevalence of causes of fever in the patients admitted with febrile convulsion and the relationship between season distribution and age with causes of fever. Methods: In this cross-sectional study, we considered files of 230 patients admitted with febrile convulsion in urgency of Amirkola hospital during one year (1999). For data analysis we used chi-square and Fisher’s exact tests. Differences with P<0.05 between groups at each point was considered statistically significant. Findings: The most common cause of fever was upper respiratory infections. From all of 230 children, in 83 (36%) URI and in 68 (29.5%) GE were the cause of fever. In 45 (19.5%) children, it was unknown. In 20 (8.7%) children, lower respiratory infections, in 5 (2%) children roseola infantum, in 3 (1.4%) children, vaccination and in one child (0.4%) breast abscess was cause of fever. We studied prevalence of age, sex, type of convulsion, duration of seizure, history of febrile convulsion and seasons, too we found significant relationship between etiology of fever and age and various seasons. Conclusion: According to the results, upper respiratory infections and gastroenteritis were most common cause of fever in patients with febrile convulsion. Febrile convulsion is more frequent in winter and summer. It was significant percentage of unknown etiology that may cause by roseola infantum.
