Fever in Children can be very dangerous, many children have illnesses that prevent their immune system from working normally. This makes it easier for a fever-causing infection to attack their body. Depending on the disease, it might be hard to find the source of the Fever in Children. A Child with limited ability to fight against infection can be in danger if he has a fever. To know more about that topic well read further.
Fever in Children: Special Medical Conditions
Because the autoimmune diseases and collagen vascular diseases (e.g. polyarteritis nodosa, rheumatoid arthritis, and systemic lupus erythematosus) may be associate with fever. For that reason due to inflammation, many diseases of the immune system trigger fever. Some causes of a weakened immune system include the absence of the spleen, age older than 65, cancer, cancer treatments, diabetes, heavy alcohol or drug use, immunosuppressive medication (organ transplants), HIV, lupus, malnutrition, sarcoidosis, and steroid therapy for a long time.
For that reason any person with a fever and one of these conditions should see a doctor or go to a hospital immediately. Quick action may save the patient’s life. The proper treatment needs to be start right away.
Sometimes the cause of fever is unknown or un-explain so that it is termed FUO (fever of unknown origin). FUO’s happen when a temperature us greater than 101°F (38.3°C), with more than a three-week duration of such febrile illness, and failure to gain a diagnosis in spite of intensive investigation, which is consider to be one week of inpatient investigation. Finally, FUOs are believe to be cause by cancers, infections, collagen vascular diseases, and various miscellaneous diseases such as an abscess in organs, occult cancers, and obscure parasitic infections. Some FUO cases, unfortunately, defy diagnosis, regardless of expert evaluations and many tests.
Another special medical condition is hypothalamus regulation. Neurotransmitters and hormones (i.e. thyroid hormones) work through feedback mechanisms to assist the hypothalamus function. If these delicate feedback mechanisms are interrupt, the hypothalamus might malfunction in many ways, one of which is to raise the body temperature to fever levels. Thyroid storm (hyrotoxicosis) is a medical emergency wherein fevers reach about 105.8°F (41°C).
Fever in Children: When to Call or See a Doctor
Fever has many potential causes. Quite often, a fever is part of a viral infection that will itself go away. However, do not hesitate to call a doctor for any high fevers. The following is a list of some signs and symptoms that indicate an urgent medical care.
See a doctor if any of these conditions appears:
- Fever persists more than seven days
- Temperature is 103°F (39.4°C) or higher
- If the symptoms get worse (pay attention if fever is increasing toward 103°F)
Consider going to an emergency center if any of the following signs occur with any fever.
- severe headache
- leg swelling
- chest pain
- stiff neck
- trouble breathing
- abdominal pain
- repeated vomiting
- pain with urination
- blood in the stool
- rash; red, hot, or swollen area of skin
- confusion or excessive sleepiness
- a sore throat, especially when the person is drooling or swallowing difficultly
People with serious illnesses, e.g. cancer or HIV, might not show any or some of these warning signs. Mild symptoms in these patients should be discuss with a doctor to prevent them from progressing to more severe infections or conditions.
When to Go to the Hospital
Under these circumstances, the person should immediately go to a hospital’s emergency department:
- A person with a fever and chest pain or difficulty breathing should go to the hospital or call for emergency medical transport.
- A person with a fever and is very agitated or confuse without any obvious reason should be transport to the hospital.
- Any person whose immune system is weak (for example, those with cancer or AIDS) should go to the emergency department if a fever develops.
- If a person has a fever and blood in the mucus, stool, or urine, it is time to seek emergency medical help.
- Hyperthermia is an emergency case. Transport a person to the hospital if he has a temperature greater than 104°F (40°C), or is not responding to verbal commands or stimuli.
- Meningitis is fatal and highly contagious if trigger by certain bacteria. If a person experiences the combination of fever, stiff neck, and severe headache, he should be taken to the emergency department immediately.
Fever in Children: How Diagnose the Cause of a Fever?
A clinician will ask many questions to find out the source of the fever:
- When the fever started
- Whether other symptoms occur
- The patient’s immunization status
- Exposures to sick people at home or at work
- Any medications or illegal drug use
- Recent travel
- Sexual history
- Recent surgeries
- Exposure to animals
- Any underlying medical illnesses
Consequently a thorough physical examination will be perform in an effort to figure out the source of the fever. After the history is noted and physical examination is conduct, the physician may identify the fever’s cause. If the physician is not sure, he or she may order some tests to help confirm the diagnosis. Therefore examples of diagnostic tests are a blood test, blood culture, CT scan, liver function tests, a spinal tap (lumbar puncture), sputum sample, stool sample, strep throat culture, thyroid function tests, urine analysis, urine culture, and X-ray films.
Base on the results of these tests, the clinician will be able to detect the cause of the fever. More specific tests, such as imaging tests, may be done if the initial tests do not suggest a reasonable cause. FUOs are challenging, and specialists often need to be involve to help determine what further diagnostic tests may be need (for example, echocardiography, endoscopy, PET scanning, or radionucleotide studies).
Fever in Children: Conclusion
Fever in Children is a higher-than-normal body temperature cause by a wide variety of illnesses. Fevers might occur in anyone at any age, including adults, children, and the elderly. Therefor it occurs in response to an infection with bacteria, viruses, or inflammation that occurs after tissue injury or disease. Many other causes of fever are possible, including poisons, drugs, heat exposure, abnormalities in the brain, or disease of the endocrine system. Every one of us has suffer the wave of chills and exhaustion along which a fever brings.
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