1-year-old and 2-month-old child with fever, how to treat

Patient's question:

At the age of seven months, he had a fever of 39.3°C with convulsions. The second time, at nine months, he had a fever of 37.5°C with convulsions. The third time, he had convulsions without a fever, and that night he had another fever of 38.5°C with convulsions. Later, the 153 Hospital performed a lumbar puncture and diagnosed viral encephalitis. Today, on the 12.5th, he had a fever of 38°C and another convulsion. During the convulsion, his eyes rolled back, and his lips turned blue. The child often has throat infections, and whenever he gets one, he fever.

Doctor's answer:

Hello, febrile seizures are a common pediatric condition. According to statistics, 3% to 4% of children experience at least one febrile seizure. The occurrence of pediatric seizures is due to underdeveloped brain maturation and poor ability to analyze and differentiate stimuli. Even weak stimuli can cause abnormal discharges in motor neurons, leading to seizures. Simple febrile seizures have a good long-term prognosis and do not affect intelligence, learning, or behavior. As children grow older and their brains develop more fully, febrile seizures generally do not recur.
If convulsions occur during a fever, it may be a febrile seizure. Sedatives can be administered, and active cooling measures should be taken. If convulsions occur even without a fever, the cause must be investigated. Repeated convulsions can cause significant brain damage, so it is important to avoid repeated seizures that may lead to brain injury and intellectual disability.

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