Abstract
Seizures are listed among the symptoms of UTI but little attention has been paid to their diagnostic significance. An attempt was made to define whether seizures could be the cardinal or sole symptom of UTI. 211 infants aged 1-24 months admitted to our department because of an episode of seizures have been examined for UTI. Other causes known to be responsible for seizure activity were rule out after appropriate testing. 39 infants (18.5%) grew >105 colonies in 3 consecutive urine cultures. Urine cultures in 100 controls were sterile. 23 out of the 39 infants were febrile. Therefore, febrile convulsions could not be excluded in 16 ( > 6 mos old). Definite association between seizures and UTI was found in 16(7.6%) who were afebrile. VUR was diagnosed in 1/3 of the cases. We suggest that all children presenting seizures of unknown etiology regardless of the presence or absence of fever should be evaluated for UTI.
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Sinanlotis, C., Stavrinadis, C. & Papadatos, C. SEIZURES AS THE CARDINAL SYMPTOM OF URINARY TRACT INFECTION IN INFANTS. Pediatr Res 14, 981 (1980). https://doi.org/10.1203/00006450-198008000-00045
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DOI: https://doi.org/10.1203/00006450-198008000-00045
