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Paget's disease of bone in two American cities.

Convulsion as a manifestation of campylobacter enteritis has not been reported. The nine children in our series who had convulsions had the unusually high mean age of 5 years 8 months, which is outside the range normally associated with febrile convulsions. Rutter and Smales3 reported a mean age for febrile convulsions of about 22 months, which is similar to that in our own small series. Convulsion is known to occur with shigellosis. The incidence is about 1000, and convulsions may occur in children with only slightly increased or normal body temperatures.4 There are several explanations that may partly account for this unusual incidence of convulsion and high mean age: firstly, the outbreak largely affected schoolchildren and not younger children; secondly, the outbreak was large with 223 proved cases in children aged 10 years or less, of whom only 14 were admitted to hospital and only nine had convulsions; and thirdly, campylobacter, like shigella, may predispose children to convulsions.