Early recurrence of febrile seizures during acute illness: risk factors and lack of association with long-term epilepsy in a Pediatric cohort

Acute-phase FSs recurrence is common and typically occurs within 24 h, with prior FSs history and influenza A infection as key risk factors. However, early recurrence was not associated with increased long-term epilepsy risk. These findings support close monitoring of high-risk children during febrile illnesses while alleviating unnecessary concerns regarding future neurologic outcomes.