| Titre |
Febrile Coma in the Pediatric Unit of the National University Teaching Hospital (CNHU) of Cotonou: Etiologic and Therapeutic Features and Outcome |
| Auteurs |
ZOHOUN GUIDIBI LUTECIA MYRIAME [1],
SAGBO GODONOU GRATIEN [2],
D'ALMEIDA Marcelline [3],
|
| Journal: |
Research Journal of Clinical Pediatrics |
| Catégorie Journal: |
Internationale |
| Impact factor: |
0 |
| Volume Journal: |
1 |
| DOI: |
1000111 |
| Resume |
Abstract
Objective: Describe the epidemiological, clinical and therapeutic
features and the outcome of comas among febrile children in the
CNHU- Cotonou.
Material and methods: This research work was a case-control and
descriptive study focused on 97 children aged one (01) month to
15 years admitted to the said unit, from January 1 to December 31,
2014 for fever induced coma. Coma was assessed using Blantyre
and Glasgow scores. The study involved all children with coma
during more than 24 hours after admission and with temperature
higher or equal to à 38°C.
Findings: Mean age was 56 months and sex ratio 1.1. In addition to
coma, respiratory distress, anemia and convulsions were identified
respectively in 24, 16 and 31 cases. 61.9% of isolated pathogens
were Plasmodium Falciparum but only case of N meningitidis and
one case of Klebsiella P were registered. Bacterial meningitis with
unidentified pathogen was found in 10 cases and no etiology was
identified in 25 cases. Antimalarial drug was used in 61.9% of cases
and probabilistic antibiotic therapy in 36% of cases. After-effects
such as aphasia and blindness were observed on discharge of the
patient in 14.4% of the cases. Death rate was 6.2%. Coma duration
higher than 7 days was associated with occurrence of after-effects
(P=0.04).
Conclusion: Viral culture should be put in place in Benin in order
to extend etiological research. The fight against malaria must be
pursued. |
| Mots clés |
Coma; Fever; Malaria; Children; Benin |
| Pages |
1 - 3 |
| Fichier |
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