title: Need for Lumbar Puncture in Children Younger Than 12 Months Presenting With Simple Febrile Seizure.
abstract: OBJECTIVE
  Recently, conflicting results have been reported regarding the necessity of routine lumbar puncture in children less than 12 months of age with simple febrile seizure. The aims of this study were to evaluate the results of lumbar puncture in children younger than 60 months of age with febrile seizure and to reassess the need for lumbar puncture in children younger than 12 months with simple febrile seizure.
  
  
  METHODS
  A retrospective chart review was performed in patients younger than 60 months who presented with febrile seizure and underwent lumbar puncture from January 2005 to January 2015.
  
  
  RESULTS
  A total of 1249 patients presenting with febrile seizure were admitted. Of these, 816 met inclusion criteria for presenting with simple febrile seizure. Lumbar puncture was performed in 75 patients (9.2%; age, mean ± SD, 12.05 ± 9.13 months; male/female, 31/44), who were reviewed. Sixty-six (88.0%) of 75 patients were younger than 12 months. Five patients (6.7%) showed pleocytosis in cerebrospinal fluid, and 4 of them were younger than 1 year of age. Three patients (4.0%) had bacterial meningitis and were 4, 8, and 12 months. Streptococcus pneumoniae (2 patients) and Klebsiella pneumoniae (1 patient) were isolated in cerebrospinal fluid. Nobody had neurologic signs suggesting bacterial meningitis, and all of them completed scheduled immunizations and were up-to-date.
  
  
  CONCLUSIONS
  Lumbar puncture should be considered in every child younger than 12 months of age with a simple febrile seizure owing to lack of abnormal neurologic sign even if immunization is up-to-date.
authors.affiliation: From the Department of Pediatrics, Korea University College of Medicine, Seoul, South Korea.
authors.forename: Yu Yun
authors.initials: YY
authors.lastname: Son
authors.forename: Gun-Ha
authors.initials: GH
authors.lastname: Kim
authors.forename: Jung Hye
authors.initials: JH
authors.lastname: Byeon
authors.forename: So-Hee
authors.initials: SH
authors.lastname: Eun
authors.forename: Baik-Lin
authors.initials: BL
authors.lastname: Eun
mesh_terms: D002555:Cerebrospinal Fluid / Q000166:cytology / Q000382:microbiology*; D002675:Child, Preschool; D005260:Female; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data*; D006801:Humans; D007223:Infant; D008297:Male; D016920:Meningitis, Bacterial / Q000175:diagnosis* / Q000453:epidemiology; D056910:Republic of Korea; D012189:Retrospective Studies; D003294:Seizures, Febrile / Q000175:diagnosis*; D013129:Spinal Puncture / Q000706:statistics & numerical data*