Convulsiones febriles simples y complejas, ¿son tan diferentes? Manejo y complicaciones en urgencias

Characteristics and Risk Factors of Central Nervous System Infection in Children With Febrile Seizures

“…As a result, the overall prevalence of meningitis in children with seizures associated with fever has decreased, estimated to be between 0% and 1.5% for complex FS. 7,8,[10][11][12][13] On one hand, recent international literature suggests that the indication for LP should be based on clinical evaluation, with a higher likelihood of performing the procedure in cases of focal seizures, febrile status epilepticus, or when intubation is necessary. 14 On the other hand, bacterial meningitis is a rapidly progressing disease that can lead to complications, emphasizing the need for early and accurate diagnosis, for which LP is considered the standard and effective procedure.…”

“…This is attributed to the availability of immunization against H. influenzae type B and Streptococcus pneumoniae . As a result, the overall prevalence of meningitis in children with seizures associated with fever has decreased, estimated to be between 0% and 1.5% for complex FS 7,8,10–13 …”