Document Detail


Febrile seizures in Kaduna, north western Nigeria.
MedLine Citation:
PMID:  23293414     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Febrile seizure is the most common seizure of childhood and has a good prognosis. However its presentation is fraught with poor management, with grave consequences, in our environment. Thus a review of its current status is important.
OBJECTIVE: To review the status of febrile seizures in Kaduna metropolis.
MATERIALS AND METHODS: A review of cases seen in the Department of Paediatrics, 44 Nigeria Army Reference Hospital, Kaduna between June 2008 and June 2010.
RESULTS: Out of the 635 cases admitted in the department 17 (2.7%) fulfilled the criteria for febrile seizures. There were 11 Males and 6 Females (M: F, 1.8:1). Age range was from 9 months to 5 years with a mean of 2.2 years ± 1.1 and peak age of 3 years. Twelve (70.6%) were in the upper social classes (I-III). Fever, convulsion, catarrh and cough were major presenting symptoms. Incidence of convulsion was least on the 1st day of complaint. Fourteen (82.4%) of the cases were simple febrile seizures while 3 were complex. There was a positive family history in 5 (29.4%) of the cases. Eleven (64.7%) had orthodox medication at home, before presentation, 5 (29.4%) consulted patient medicine sellers and 7 (41.7%) received traditional medication as part of home management. Malaria and acute respiratory infections were the identifiable causes. Standard anti-malaria and anti-biotic therapy were instituted, where indicated. All recovered and were discharged.
CONCLUSION: There was a low prevalence of febrile seizures among the hospitalized children and a poor pre-hospitalization management of cases. It highlighted the need for improved community awareness on the prevention and management of febrile seizures.
Authors:
E E Eseigbe; S J Adama; P Eseigbe
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Nigerian medical journal : journal of the Nigeria Medical Association     Volume:  53     ISSN:  0300-1652     ISO Abbreviation:  Niger Med J     Publication Date:  2012 Jul 
Date Detail:
Created Date:  2013-01-07     Completed Date:  2013-01-08     Revised Date:  2013-05-30    
Medline Journal Info:
Nlm Unique ID:  0315137     Medline TA:  Niger Med J     Country:  Nigeria    
Other Details:
Languages:  eng     Pagination:  140-4     Citation Subset:  -    
Affiliation:
Department of Paediatrics, Ahmadu Bello University Teaching Hospital (ABUTH), Zaria, Nigeria.
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