Fever During Viral Upper in Pediatrics — Case | Paediatric Neurology | SMLE Q#18415
SMLE Question #18415
Pediatrics
Paediatric Neurology
Objective: OBJ-NEURO-CP-001
Last updated: February 2026
A previously healthy 18-month-old child is brought to the ED after a 2-minute generalized tonic-clonic seizure that occurred with fever during a viral upper respiratory tract infection. The child returned to baseline within 20 minutes and has a normal neurologic examination. There is no prior seizure history, no CNS infection signs, and development is age-appropriate. The mother asks how to prevent future febrile seizures and what to do if another seizure occurs.
Vital signs:
- T: 39.2 °C
- BP: 92/56 mmHg
- HR: 148 /min
- RR: 28 /min
- SpO2: 98% (RA)
What is the most appropriate advice?
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