If your child has a Fit with Fever

How to Deal With a Child's Fits with Fever

Closely check on child when ill. If febrile – give paracetamol 10-15mg per kg early to prevent rise in temperature(not aspirin). Therefore check with the thermometer early. Tepid sponging (tap water used : face & body sponged), remove clothing / sheets .Switch on the fun.

If fit occurs; remove anything in the vicinity that may injure the child or move the child away from danger,loosen tight clothing, lay the child left lateral position (so that saliva/vomits can drain out), extend the neck and stay with child until the fit stops. If continuing for a long period or after fit has resolved-take to hospital.when the fit stops she will be drowsy-let him to sleep

If this is a first attack ,this may not be a simple febrile convulsion.It is better tolook for medical advice.

Other causes for fever with fits

1. Atypical febrile convulsion

2. Meningitis

3. Encephalitis

4. Cerebral malari



Atypical febrile convulsions

Diagnostic criteria

1 fit occur 24 hours after the onset of fever

2 A seizure lasting for more than 15 min

3 Repeated convulsions for several hours or days

4 A focal seizure.

Risk factors for the development of epilepsy

1 Positive family history of epilepsy.

2 First febrile seizure prior to 9 months of age.

3 A prolonged or atypical febrile seizure.

4 Delayed developmental milestones.

5 An abnormal neurological examination

Approximately 50% of children have recurrent febrile seizures.

Incidence of epilepsy is approximately 9% when positive risk factors.

Incidence of epilepsy 1% when there is no risk factors.


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