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How to treat febrile seizures in a 3-year-old?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

There are recurrent unexplained fevers in a 3-year-old female that have caused a febrile seizure. All blood work came back well, and she has no cold or flu. They even checked for a UTI and found nothing. She very easy to gets sick with colds and coughs. I wonder if it could be an autoimmune disease or some inflammatory disease that might be causing these fevers. A couple of days ago, out of nowhere, she developed a 103 Fahrenheit fever causing a febrile seizure. She had been fine for the past few days until last night when she woke up with a fever of 100.4 Fahrenheit. Again, she is not sick or anything. Since she was an infant, we would take her to the doctor when she had a fever, and they could never find a cause. No flu, no cold, no ear infection, or nothing. She had two febrile seizures last year as a result of fever spikes as well. Kindly suggest.

Hello,

Welcome to icliniq.com.

Every child till 8 years of age has recurring fever episodes due to immature immune systems. Most of the time, a cause cannot be found. Febrile seizures can occur till the age of 6 years. Give a nutritious and balanced diet rich in all foods that enhance the immune system. Avoid any known allergens that induce illness.

Thank you.

Patient's Query

Hello doctor,

I am just making sure we cover all of our bases here. What can we do regarding further investigation, like a CT scan or consulting a neurologist? Could it be meningitis?

Hello,

Welcome back to icliniq.com.

No, it cannot be meningitis. Simple febrile seizures do not require any CT (computed tomography) scan. They are benign. If seizures recur, consult a nearby pediatric neurologist for detailed evaluation and further management. I hope this helps you.

Thank you.

Patient's Query

Hello doctor,

I also worry about the possibility of leukemia as well.

Hello,

Welcome back to icliniq.com.

The blood work is normal, so it is not due to leukemia.

Thank you.

Medically reviewed byiCliniq medical review team

Published At February 26, 2023
Reviewed AtJuly 24, 2023

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