geoscience.net logo
+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Prolonged fever in children. Retrospective study of 67 cases


, : Prolonged fever in children. Retrospective study of 67 cases. Archives de Pediatrie 11(11): 1319-1325

The first problem to face in prolonged fever is its etiologic diagnosis. Its incidence varies between 0,5 to 3% of all paediatric hospital-stay. Precise diagnosis need an extensive questionnary, complete physical examination and an algorithm of complementary exams. To precise the epidemiologic profile and causes of prolonged fever in a children. Retrospective review of 67 children between two and 15 years old admitted in the general paediatrics department of the Fattouma Bourguiba university hospital in Monastir (Tunisia), for prolonged fever between 1(st) January 1988 and 31 December 1998. The incidence of prolonged fever was 1,02%. The mean age was seven years with female predominance. The mean fever duration was 30 days. Fever was isolated in 23,9% of cases. Fever was associated to rheumatic or respiratory signs in respectively 26,9% and 20,9% of cases. Hospital-stay was of 11 days in 50% of cases. Prominent causes were dominated by infectious diseases (56,7%) with predominance of localized infections, followed by inflammatory diseases (20,9%) with predominance of rheumatic fever and neoplasms (3%). Fever remained of unknown origin was seen in 19,4% of cases. Prolonged fever is still dominated by infectious and inflammatory diseases and depend on local epidemiological particularities. In fact we noted in this study the relative high-frequency of visceral leishmaniasis, complicated pulmonary hydatic cyst and rheumatic fever. The diagnosis approach should be based on complementary exams of first and second stage because of their high number and cost. Prognosis of fever of unknown origin is often favorable.

US$19.90

PMID: 15519829

DOI: 10.1016/j.arcped.2004.07.018


Other references

Fox, C.S.; Pencina, M.J.; Meigs, J.B.; Vasan, R.S.; Levitzky, Y.S.; D'Agostino, R.B., 2006: Trends in the incidence of type 2 diabetes mellitus from the 1970s to the 1990s: the Framingham Heart Study. Recent studies indicate that the prevalence of type 2 diabetes mellitus is increasing in the United States; less is known about trends in the incidence of type 2 diabetes mellitus. Participants free of diabetes mellitus (n=3104; mean age 47 years;...

Dzhangishiev, N.Kh., 1975: Morbidity in Dagestan (based on one region). Zdravookhranenie Rossiiskoi Federatsii: 25-28

Liszewski, M.Kathryn.; Kemper, C.; Price, J.D.; Atkinson, J.P., 2005: Emerging roles and new functions of CD46. In the past 20 years, our understanding of the workings of complement regulatory protein, CD46 (membrane cofactor protein), has grown as has the impressive list of pathogens interacting with this membrane-bound complement inhibitor. Referred to as...

Bygglin, H.; Laaksamo, E.; Myllärniemi, M.; Tulamo, R.; Hernesniemi, J.; Niemelä, M.; Laakso, A., 2011: Isolation, culture, and characterization of smooth muscle cells from human intracranial aneurysms. Smooth muscle cells (SMCs) play a critical role in the vascular wall and also participate in vascular repair mechanisms. Dysfunction of SMCs may also contribute to the formation of intracranial aneurysms (IAs) causing subarachnoid hemorrhage. Our...

Subba Rao, B.R., 1976: Narayanella, a new name for Narayana Subba Rao (Hymenoptera: Mymaridae). The name Narayana was applied to the genus erected for a new species, N. pilipes Subba Rao, from Burma. It is, however, a junior homonym of Narayana Distant, and the new name Narayanella is here proposed as the generic name for N. pilipes (Subba R...

Zhirov, E.G., 1980: Synthesis of a new hexaploid wheat. A description and Latin diagnosis are given of Triticum miguschovae, a homologue of bread wheat with the genome formula AbAbGGDD, which was produced by crossing T. militinae (2n = 28, AbG) with Aegilops tauschii [Ae. squarrosa] subsp. strangulata...

Schwartzman, B.; Caputo, A.; Beumer, J., 1985: Occlusal force transfer by removable partial denture designs for a radical maxillectomy. Several removable partial denture retainers were tested on a photoelastic cast of a human maxilla that had undergone a surgical resection through the midline. The conclusions based on the results of these tests are as follows. Physiologic adjustme...

Schofield, P.M.; Sharples, L.D.; Caine, N.; Burns, S.; Tait, S.; Wistow, T.; Buxton, M.; Wallwork, J., 1999: Transmyocardial laser revascularisation in patients with refractory angina: A randomised controlled trial. Background: Transmyocardial laser revascularisation (TMLR) is used to treat patients with refractory angina due to severe coronary artery disease, not suitable for conventional revascularisation. We aimed in a randomised controlled trial to assess...

Chignard, M.; Lefort, J.; Vargaftig, B.B., 1977: Platelet effects of arachidonic acid in dog blood. II. Involvement of cyclo-oxygenase in the in vitro situation. Prostaglandins 14(5): 929-946

Anonymous, 2012: Cribado neonatal ampliado en la Region de Murcia Experiencia de tres años. La detecci n precoz de errores innatos del metabolismo mediante espectrometr a de masas en t ndem permite ampliar el cribado tradicional de fenilcetonuria e hipotiroidismo primario cong nito a aminoacidopat as, acidurias org nicas y alteraciones d...