Abstract
Aim: Most children with COVID-19 have mild symptoms, but data on the Omicron variant are rare. This paper describes unexpected cases with convulsions during 1 week in January 2022.
Methods: Four children with COVID-19 were admitted with convulsions to the paediatric department in Örebro, Sweden, when Omicron accounted for more than 98% of the country’s COVID-19 cases. Three children tested positive for the virus, and one had clinical COVID-19. I was able to contact the parents of three boys, who gave consent for these case studies.
Results: Two boys aged 3 and 21 months tested positive for the virus and a 14-year-old boy tested negative, but had a cold and family members who had tested positive. The teenager had a history of urinary tract infections, but the younger boys had no earlier comorbidities. None had a history of epilepsy or febrile convulsions. The younger children had a fever and the teenager had upper respiratory symptoms. The 3-month-old child had repeated convulsions for several hours, the 21-month-old had continuous convulsions for 15-20 min, and the teenager had a convulsion for 30-60 s, followed by uncharacteristic aggression.
Conclusion: Convulsions may be a sign of the Omicron variant in children with COVID-19.
Keywords: COVID-19; Omicron; convulsions; pandemic; seizures.
【저자키워드】 COVID-19, pandemic, omicron, convulsions, seizures., 【초록키워드】 children, variant, Comorbidities, epilepsy, omicron, virus, Fever, urinary tract infections, Omicron variant, Consent, mild symptoms, Convulsion, convulsions, Contact, COVID-19 cases, Seizures, followed by, upper respiratory symptoms, parents, SIGN, parent, positive, febrile, MOST, aggression, repeated, country, febrile convulsions, tested, accounted, had no, children with COVID-19, 【제목키워드】 children with COVID-19,