Document Detail

Pediatric emergencies associated with fever.
MedLine Citation:
PMID:  19945599     Owner:  NLM     Status:  MEDLINE    
Fever is defined as a rectal temperature greater than 38.0 degrees C (>100.4 degrees F). A recently documented fever at home should be considered the same as a fever in the ED and should be managed similarly. All febrile infants younger than 28 days should receive a "full sepsis workup" and be admitted for parenteral antibiotic therapy. Clinical and laboratory criteria can be used to identify a low-risk population of febrile infants aged 1 to 4 months who have not received 2 doses of conjugate vaccines for bacterial meningitis. Children with sickle cell disease are at high risk and require special evaluation. MRSA infections are now common and should be considered in all patients with pyoderma, severe pneumonia, and catheter-related sepsis. HSV infection of the CNS should be considered whenever a patient has altered mental status and CSF findings are not diagnostic of bacterial meningitis. Fever rarely represents life-threatening pathology; however, a handful of less common serious causes of pediatric fever exist with the potential for morbidity and mortality.
Ilene Claudius; Larry J Baraff
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Emergency medicine clinics of North America     Volume:  28     ISSN:  1558-0539     ISO Abbreviation:  Emerg. Med. Clin. North Am.     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2009-11-30     Completed Date:  2010-01-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8219565     Medline TA:  Emerg Med Clin North Am     Country:  United States    
Other Details:
Languages:  eng     Pagination:  67-84, vii-viii     Citation Subset:  IM    
Department of Emergency Medicine, University of Southern California and Children's Hospital, 1200 State Street 1011, Los Angeles, CA 90033, USA.
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MeSH Terms
Anti-Bacterial Agents / therapeutic use
Child, Preschool
Dehydration / diagnosis,  therapy
Emergency Service, Hospital*
Fever / drug therapy,  etiology*,  microbiology
Infant, Newborn
Meningitis, Bacterial / diagnosis,  drug therapy
Meningococcal Infections / diagnosis,  drug therapy
Sepsis / diagnosis*,  drug therapy
Reg. No./Substance:
0/Anti-Bacterial Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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