fever

Fever without a source, think UTI first
Fever without a source, think UTI firstIn children aged older than 2 months, the pediatrician is often faced with the scenario of fever with no apparent source. Because symptoms in young patients are nonspecific and reliable urine samples require invasive testing, there can be a delay in both diagnosis and treatment of urinary tract infections (UTIs). This delay may be associated with increased risk of renal scarring and a longer duration symptomology for the young child.
How to evaluate young febrile infantsA large retrospective study of how infants with fever without a cause are evaluated found that physicians are selective in deciding which of these babies will have blood, urine, or cerebral spinal fluid cultures.
Autoimmune diseases as noninfectious causes of feverFever without infection can be a manifestation of a number of different disorders in children, including various autoimmune and autoinflammatory diseases.
Algorithm accurately identifies babies at low risk of IBIThe so-called “Step-by-Step” algorithm, a sequential approach to identifying young febrile infants at low risk for invasive bacterial infection (IBI) on the basis of clinical and laboratory parameters, is more accurate than the classic Rochester criteria or the more recently developed “Lab-score,” a new study shows.
When rash and fever become an emergencyRashes and fevers are among the most common complaints seen in the pediatrician’s office. The differential diagnosis is often large and ranges from entities the pediatrician sees commonly such as erythema infectiosum to the less common diseases such as Kawasaki syndrome, to more potentially serious conditions such as vaccine preventable illnesses and everything in between.
Child becomes febrile after visiting West AfricaIt’s a Friday morning in the outpatient pediatric clinic when a nurse on the phone with a patient’s mother says that the mother is on the city bus with her 2 daughters on their way to the clinic because the 6-year-old daughter has developed fatigue, body aches, fever, and vomiting since they returned from West Africa.
Web system spots preschool disease outbreaks earlyA Web-based surveillance system could enable preschools and childcare facilities to identify disease outbreaks in their early stages and take prompt measures to nip them in the bud, researchers reported at the American Academy of Pediatrics National Conference in San Diego.
Respiratory virus Enterovirus D68 hits hardest in kids with asthmaAbout 1,000 cases of the respiratory illness caused by Enterovirus D68 have been confirmed in 10 states in the United States so far. Many of these children are being hospitalized for it.
Infliximab promising for treatment of Kawasaki diseaseInfliximab, a monoclonal antibody, may be an effective treatment for children with Kawasaki disease, results of a recent study suggest.