Children with COVID-19 Who Manifest Febrile Seizure

Abstract

The COVID-19 pandemic is a challenge for all medical personnel in the world. Various studies have been conducted to gain more knowledge about SARS-CoV-2, but studies in the pediatric population are still very limited. We report a case of a boy aged two years and seven months who came to the hospital with an atypical generalized seizure for less than 5 minutes and immediately regained consciousness after the seizure. Other symptoms included fever, productive cough, rhinorrhea, and shortness of breath. The X-ray showed a well-defined homogeneous consolidation in the upper right lobe and a small spot in both lungs which consistently showed top right lobar pneumonia and bronchopneumonia. From the SARS-CoV-2 nucleic acid test, positive results were obtained on the third day of hospitalization. The patient received antiseizure therapy, antibiotics, and other supportive therapies by Indonesian Pediatrician Association (IDAI) guidelines. During treatment, the patient responded well to the treatment given, with no other seizure episodes. A negative result on the SARS-CoV-2 nucleic acid test was obtained after twelve days of hospitalization as well as improvements of the lungs as seen from the X-ray.

Spectrum of COVID-19 Disease in Children: A Retrospective Analysis Comparing Wave 1 and Wave 2 from a Tertiary Hospital in South India

“…Seizures have been reported in 0.5% of COVID-19 patients in China. Simple febrile seizures which was the most common cause (35%) in the present study has been reported anecdotally in children [22]. Epilepsy syndromes which was the next frequent cause of seizure (32.5%) has also been described anecdotally to be associated with COVID-19 [23].…”

Provoked seizures and status epilepticus in a pediatric population with COVID‐19 disease

“…Previous studies reporting the occurrence of febrile seizures or status epilepticus in children with COVID-19 are scarce. 4,5 Notably, the majority of our patients (88%) had complex febrile/provoked seizures, with status epilepticus occurring in 50% of our patients. In addition, 38% of our patients presented with focal seizures.…”

Analysis of Secondary Diagnosis of COVID-19 in Children Aged 0-18: A Case Study of an Inpatient at Hospital X in Central Java Province

“…Children are still susceptible to COVID-19, can occasionally result in more severe health issues, such as multisystem inflammatory syndrome (MIS-C) or organ damage from inflammation brought on by a coronavirus. Children may experience febrile convulsions or episodes brought on by a rise in body temperature (fever) (Dewiyanti et al, 2021). On the first day of a fever, febrile seizures are most frequent.…”