Correlation between serum zinc level and simple febrile seizure in children

  • Lusiana Margaretha Department of Child Health, Sam Ratulangi Univetsity Medical School/Prof Dr. R. D. Kandou General Hospital, Manado
  • Nurhayati Masloman Department of Child Health, Sam Ratulangi Univetsity Medical School/Prof Dr. R. D. Kandou General Hospital, Manado
Keywords: febrile, seizure, zinc

Abstract

Background Simple febrile seizure is the most common form of seizure which occurs during childhood period. Zinc, one of microelements in human body, has an important role in central nervous system formation.

Objectives To find out serum zinc level in simple febrile seizure patients and the correlation between serum zinc level and simple

febrile seizure.

Methods This cros-sectional study was conducted at R. D. Kandoll Hospital, Tingkat III Teling Hospital and Pancaran Kasih Hospital, Manado on April 5th - June 15th, 2009.

Results Diagnosis for febrile v.ithout seizure patients were 12 with acute respiratory tract infection (ARl), 6 dengue hemorrhagic fever (DHF), 6 acute diarrhea v.ithout dehydration and 1 ARI with DHF, while simple febrile seizure were 19 ARI, five acute diarrhea v.ithout dehydration and one ARI v.ith DHF. There were no significant differences of age, gender and nutritional status in two groups. F amily history of febrile seizure, febrile period and body temperature in two groups were significantly different. Mean serum zinc level in simple febrile seizure and febrile v.ithout seizure were 8.83 μmol/L and 13.72 μmol/L, respectively. Mean serum zinc level in simple febrile seizure children with seizure period <5 minutes, 5-<10 minutes and 10-15 minutes were 10.27 (SD 0.25)  μmol/L, 9.02 (SD 0.81) ) μmol/L and 6.90 (SD) 0.98 μmol/L, respectively.

Conclusions There is correlation between serum zinc level and simple febrile seizure. The lesser serum zinc level, the longer duration of seizure occurs in simple febrile seizure.

References

1. Johnston MY. Seizures in childhood. In: Behrman RE, Kliegman RM, Jenson HB, editors. Nelson textbook of pediatrics. 17th Ed. Philadelphia: WB Saunders Co, 2004; p. 1993-4.
2. American Academy of Pediatric. Febrile seizures: clinical practice guideline for the long-term management of the child with simple febrile seizures. Pediatrics. 2008;121:1281-6.
3. American Academy of Pediatric. Practice parameter: the neurodiagnostic evaluation of the child with a first a simple febrile seizure. Pediatrics. 1996;97:769-72.
4. Wolf P, Shinnar S. Febrile seizures. In: Maria BL, editor. Current management in child neurology. yd Ed. London: Be Decker Inc, 2005; p. 99-104.
5. Cousins RJ. Zinc. In: Ziegler EE, Filer LJ Jr, editors. Present knowledge in nutrition. 7th Ed. Washington DC: ILSI Press, 1996; p. 40-50.
6. Guy tonAC, Hall JE. Textbook of medical physiology. 9th Ed. Philadelphia: WB Saunders, 1996; p. 71-88.
7. Ganesh R, Janakiraman L. Serum zinc levels in children with simple febrile seizure. Clin Pediatr. 2008;47:164-6.
8. Smart TG, Hosie AM, Miller PS. Zn2 + ions: Modulators of excitatory and inhibitory synaptic activity. Neuroscientist. 2004;104:32-42.
9. Jelita S, Chairani L, Darwin S, Dev,i R. Zinc deficiency as a risk factor of febrile seizure. Presented on 14th Indonesian Congress Of Pediatrics, Surabaya, July 5-9, 2008.
10. Burhanoglu M, Tutuncuoglus S, Coker C, Tekgul H, Ozgur. Hypozincaemia in febrile convulsion. Eur J Pediatr. 1996; 155:498-501.
11. Strand T A, Chandyo RK, Bahl R. Effectiveness and efficacy of zinc for the treatment of acute diarrhea in young children. Pediatrics. 2002;109:898-903.
12. Soetomenggolo T S. Kejang demam. In: Soetomenggolo TS, Ismael S, editors. Buku Ajar Neurologi Anak. Jakarta: BP IDAI; 1999. p. 244-52.
13. UKK Neurologi. Konsensus penanganan kejang demam. Jakarta: BP IDAI; 2005. p. 1-14.
14. Fischer C, Harvey P. Low risk of adverse effects from zinc supplementation. MOST Project: The USAID micronutrient program. c2005 [cited 2008 june 5]. Available from, http:/www.mostproject.org;ZINC;Zinc_Updates_Apr05/zinc%20low%2Orisk.pdf
15. Aggarwal R, Sentz J, Miller MA. Role of zinc administration in prevention of childhood diarrhea and respiratory illnesses: a meta-analysis. Pediatrics. 2007 ;119: 1120-30.
16. WantaniaJM, Naning R, Wahani A. Infeksi respiratori akut. In: Rahajoe NN, Supriyatno B, Setyanto DB, editors. Buku ajar respirologi anak. Jakarta: BP IDAI, 2008; p. 268-77.
17. Soedarmo SP. Infeksi virus dengue. In: Soedanno Sp, Garna H, Hadinegoro SRS editors. Buku ajar ilmu kesehatan anak. Jakarta: Bagian Hmu Kesehatan Anak FKUI, 2002; p. 177-208.
18. Widagdo. Blood zinc levels and clinical severity of dengue hemorrhagic fever in children. Southeast Asian J Trop Med Public Health. 2008;39:610-6.
19. Noerasid H, Suraatmadja S, Asnil PO. Gastroenteritis (diare) akut. In: Suharyono, Boediarso A, Halimun EM, editors. Gastroenterologi anak praktis. Jakarta: BP FKUI; 1988. p.51-76.
20. Sindroma diare. In: Sudanno SM, Soeparto P, Djupri LS, Ranuh IGMRG, editors. Sindroma diare: patofisiologi, diagnosis, penatalaksanaan. Surabaya: Department of Child Health, Airlangga University; 2004. p. 41A.
21. Sakonju A, Huffman J. Genetics. In: Robertson J, Shilkofski N, editors. T he Johns Hopkins Hospital the Harriet Lane Handbook International Edition. 7th Ed. Philadelphia: Elsevier Mosby, 2005; p. 323-33.
22. Height and length. In: Hall jG, Allanson jE, Gripp KW, Slavotinek AM, editors. Handbook of physical measurements. 2nd Ed. New York: Oxford University Press; 2007. p. 15-29.
23. Tomoum HY, Badawy NM, Mostafa AA, Harb MY. Plasma interleukin-1β levels in children with febrile seizures. J Child Neurol. 2007;22:689-92.
24. Lestari H. Hubungan antara defisiensi besi yang diukur melalui kadar feritin serum dengan kejang demam. [thesis]. Manado: Sam Ratulangi University; 2005.
25. Masloman N, Kawengian A, Laisina AB. Profile of febrile convulsion in Department of Child Health Central General Hospital Manado 1997􀁱2001. Presented on 12th National Congress of Child Health, Bali, June 30 - July 4, 2002.
26. Mangunatmadja I. Kejang pada anak. In: Trihono PP, Purnamawati S, Syarif DR, editors. Hot topics in pediatrics II. Jakarta: BP FKUI: 2002. p. 245-61.
27. Waruiru C, Appleton R. Febrile seizures: an update. Arch Dis Child. 2004;89:751-6.
28. Sadleir LG, Scheffer IE. Febrile seiwres. BMj. 2007;334:307- 11.
29. Nelson KB, Hirtz DG. Febrile seizures. In: Swaiman KF, editors. Pediatric neurology. 2nd Ed. St Louis: Mosby; 1994. p. 565-9.
30. Tarkka R. Pathogenesis, prevention of recurrences and outcome of febrile seizures. Presented on Public discussion in the Auditorium 12 of the University Hospital of Oulu, Oulu, September 5, 2003.
Published
2016-10-26
How to Cite
1.
Margaretha L, Masloman N. Correlation between serum zinc level and simple febrile seizure in children. PI [Internet]. 26Oct.2016 [cited 20Apr.2024];50(6):326-0. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/962
Received 2016-10-18
Accepted 2016-10-18
Published 2016-10-26