[Attempt of differentiation acute encephalopathy with febrile convulsive status epilepticus from febrile convulsive status epilepticus induced by human herpesvirus 6 at early stage].
It is difficult for clinicians to predict the subsequent development of acute encephalopathy with febrile convulsive status epilepticus (AEFCSE), when febrile convulsive status epilepticus (FCSE) develops. Comparing clinical and laboratory characteristics between patients with AEFCSE and those with FCSE, we investigated the factors which predict the later development of febrile convulsive status caused by HHV6. The subjects of this study were patients treated for FCSE or AEFCSE due to HHV6 in our hospital between April 2004 and January 2008. The AEFCSE group included 5 patients, and the FCSE group included 6 patients. There were few differences in clinical characteristics or brain images on admission between the 2 groups. Disturbance of consciousness persisted for 24 hours or more in all patients in the AEFCSE group and in 2 patients in the FCSE group. The serum creatinine concentration was significantly higher in the AEFCSE group. Serum creatinine concentration could be a good indicator for the prediction of AEFCSE in patients with FCSE.
Ishikawa
Junichi
J
Department of Pediatric Emergency Medicine, Osaka City General Hospital, Osaka.
Yamamuro
Miho
M
Togawa
Masao
M
Shiomi
Masashi
M
D001927:Brain Diseases / Q000150:complications* / Q000175:diagnosis*; D003404:Creatinine / Q000097:blood; D003937:Diagnosis, Differential; D005260:Female; D015654:Herpesvirus 6, Human; D006801:Humans; D007223:Infant; D008297:Male; D019349:Roseolovirus Infections / Q000150:complications*; D003294:Seizures, Febrile / Q000209:etiology*; D013226:Status Epilepticus / Q000175:diagnosis* / Q000209:etiology*
D003404:Creatinine