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October 1983

Convulsions in Shigellosis: Evaluation of Possible Risk Factors

Author Affiliations

From the Department of Pediatrics A, Beilinson Medical Center, Petah Tiqva, and the Sackler School of Medicine, Tel Aviv University, Israel.

Am J Dis Child. 1983;137(10):985-987. doi:10.1001/archpedi.1983.02140360045015

• We studied 158 children with culture-proven shigellosis, 37 (23.4%) of whom had convulsions. Historical, clinical, and laboratory data were compared between patients with and without convulsions to define risk factors for the development of seizures. Age was the most important predisposing factor. The highest incidence of shigellosis associated with convulsions was found in children between 6 months and 4 years of age. Peak body temperature and a family history of convulsions also independently affected the development of seizures. Sex and Shigella strain showed differences between the groups but failed to reach statistical significance.

(Am J Dis Child 1983;137:985-987)