Characteristics of Benign Convulsion with Rotavirus Gastroenteritis

초록

Purpose: To identify the characteristics of benign convulsion with rotavirus gastroenteritis by comparing cases with and without fever among children with seizures accompanying rotavirus gastroenteritis. Methods: The medical records of patients aging from 5 to 59 months old with positive stool rotavirus antigen tests, who were admitted to our hospital, between January 1999 and June 2010 were retrospectively reviewed on the aspects of epidemiologic characteristics, clinical symptoms, treatment, etc.. Subjects were divided into three groups on the basis of the presence of seizure and the presence of fever among patients with seizure: ‘control’(rotavirus gastroenteritis without seizure), ‘febrile’(rotavirus gastroenteritis with seizure and fever), ‘nonfebrile’(rotavirus gastroenteritis with seizure and without fever). Results: Among the 690 subjects, the number of patients for each group was 652(94.50%) for the ‘control’ group, 19(2.75%) for the ‘febrile’ group and 19(2.75%) for the ‘nonfebrile’ group. All three groups showed high annual incidence between December and May. The mean age was 19.56± 9.57 months(control), 20.37 ± 7.26 months(febrile), 20.84 ± 7.41 months(nonfebrile), respectively. There was no significant difference in the aspects of gastroenteritis symptoms such as vomiting, diarrhea, decreased activity, poor oral intake. However, there was no statistical difference in the total duration of diarrhea in both groups (n=4.79 days, n=4.58 days, p=0.7686). Conclusions: The differences in the duration of diarrhea before and after the onset of the 1st episode of seizure in the ‘febrile’ group and the ‘nonfebrile’ group might occur due to the differences in the pathophysiology of both diseases.