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Journal of Tropical Pediatrics 1993 39(5):309-311; doi:10.1093/tropej/39.5.309
© 1993 by Oxford University Press
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brief-report

Convulsions with Fever of Acute Onset in School-age Children in Benin City, Nigeria

G. O. Akpede, FWACP, FMC Paed (Nig.)*,** and R. M. Sykes, MRCP (UK), DCH***

*Department of Paediatrics, College of Medical Sciences, University of Maiduguri PMB 1069, Maiduguri, Borno State, Nigeria
**Department of Child Health, University of Benin Teaching Hospital Benin City, Nigeria
***Institute of Child Health, College of Medical Sciences, University of Benin Benin City, Nigeria

Of 92 school-age children who had convulsions with fever (CWF) of acute onset, seen in a 1-year period in an emergency room in Benin City, Nigeria, 49 per cent had malaria parasitaemia, 15 per cent bacterial meningitis, 8 per cent focal extracranial infections, and 1 per cent bacteraemia while 27 per cent had acute fever of undetermined origin. The prevalence of meningitis increased with presence of temperature ≥40°C (P<0.01), focal seizures (P<0.05), and rousable coma (P<0.05). Bacterial meningitis is an important illness in school-age children with CWF, although malaria parasitaemia is the commonest infection.


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