Clinical characteristics and prognosis of mild gastroenteritis complicated with benign convulsions in infants

Abstract

Objective \nTo explore the clinical features and prognosis of mild gastroenteritis complicated with benign convulsions (BICE) in infants. \n \n \nMethods \nThe clinical data of 75 children with BICE admitted to our hospital from June, 2017 to May, 2018 were retrospectively analyzed. Their clinical features and prognosis were analyzed. \n \n \nResults \nAmong the 75 cases, the predilection occurred in 13-36 months old, and in autumn and winter, accounting for 89.3% and 90.7%, respectively. Most of the convulsions occurred in ankylosing-clonic seizures; the number of seizures was 1; the duration was less than 5 minutes; the interval between convulsion and mild gastroenteritis was more than 2 days; accounting for 65.3%, 57.3%, 94.7%, and 85.3%, respectively. Among the mild gastroenteritis cases, the frequency of mild diarrhea was 1-2 times per day; the body temperature was normal; and most of them were accompanied by vomiting; accounting for 61.3%, 62.7%, and 85.3%, respectively. In the auxiliary examinations, stool routine examination, cranial CT, and electroencephalogram were normal, and the positive rate of rotavirus antigen detection was 82.7%. After routine treatment of seizure and gastroenteritis, good effects were achieved. 6 months’ follow-up showed that BICE had a good prognosis and no convulsions occurred. \n \n \nConclusion \nMost BICE are transient, and no epilepsy has been found. Mild gastroenteritis caused by rotavirus infection may be one of the main causes of BICE. After targeted anticonvulsion and gastroenteritis treatment, convulsions can be effectively controlled and the clinical prognosis is good. \n \n \nKey words: \nMild gastroenteritis;\xa0Benign convulsions in infants;\xa0Clinical characteristics;\xa0Prognosis