Adji Arga Setyo, Angel Syalomitha Claudia Stefanie, Adiwinoto Ronald Pratama, Suwito Bambang Edi, Puspitasari Angela
Faculty of Medicine, Hang Tuah University, Surabaya, Indonesia.
Department of Public Health, Hang Tuah University, Surabaya, Indonesia.
Glob Cardiol Sci Pract. 2024 Aug 1;2024(4):e202432. doi: 10.21542/gcsp.2024.32.
Complex congenital heart disease (CHD) in children does not often cause febrile seizures. A child with simple febrile seizures, bronchopneumonia, and complex congenital heart disease is discussed. The report analyzes the causes and proposes preventive measures for febrile seizures, bronchopneumonia, or both. A 2-year-old girl with complex congenital heart disease presented with simple febrile seizures possibly caused by bronchopneumonia. The child was severely malnourished (<-3SD), with a body weight of 7.5 kg and a height of 78 cm. Diagnostics revealed leukocytosis and neutropenia, with X-ray results showing abnormalities in the lungs and heart (ASD, VSD, and PDA). Treatment included diazepam 5 mg rectally for the first seizure and 1 mg IV for the second seizure, as well as paracetamol infusion 5 ml/4 h. Understanding simple febrile seizures triggered by bronchopneumonia in patients with complex congenital heart disease requires an integrated approach for patient management, including comprehensive care. The involvement of medical personnel is an important challenge in preventing recurrence and ensuring optimal patient outcome. Simple febrile seizures are likely caused by bronchopneumonia accompanied by complex congenital heart disease. Her recovery after prompt treatment with diazepam and symptomatic drugs emphasizes the importance of recognizing seizure triggers and managing febrile seizures in children with cardiac anomalies.
儿童复杂性先天性心脏病（CHD）通常不会引起热性惊厥。本文讨论了一名患有单纯热性惊厥、支气管肺炎和复杂性先天性心脏病的儿童。该报告分析了病因，并针对热性惊厥、支气管肺炎或两者提出了预防措施。一名患有复杂性先天性心脏病的2岁女孩出现了可能由支气管肺炎引起的单纯热性惊厥。该儿童严重营养不良（<-3SD），体重7.5千克，身高78厘米。诊断显示白细胞增多和中性粒细胞减少，X线检查结果显示肺部和心脏（房间隔缺损、室间隔缺损和动脉导管未闭）有异常。治疗包括首次惊厥时直肠给予地西泮5毫克，第二次惊厥时静脉注射1毫克，以及每4小时静脉输注5毫升对乙酰氨基酚。了解复杂性先天性心脏病患者由支气管肺炎引发的单纯热性惊厥需要一种综合的患者管理方法，包括全面护理。医务人员的参与是预防复发和确保患者获得最佳治疗效果的一项重要挑战。单纯热性惊厥可能由伴有复杂性先天性心脏病的支气管肺炎引起。她在用地西泮和对症药物及时治疗后康复，这强调了识别惊厥触发因素和管理患有心脏异常儿童热性惊厥的重要性。
