Seizures - febrile
Red flags
- Age <6 months or >6 years at first febrile seizure - atypical, work up further
- Meningism, bulging fontanelle, reduced consciousness beyond expected post-ictal period -> CNS infection until excluded
- Focal seizure features, prolonged (>15 min), or >1 seizure in 24h -> complex febrile seizure
- Incomplete recovery to neurological baseline
- Immunosuppression or recent antibiotic use masking meningitis signs
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