PMID: 18431906Apr 25, 2008Paper

Management of fever without source in children

Przegla̧d lekarski
Barbara IwańczakFranciszek Iwańczak

Abstract

Infectious diseases are the most common cause of fever in children. Viral and bacterial infections of respiratory, gastrointestinal, central nervous system and urinary tract dominates. In the group of children with chronic fever in some cases inflammatory bowel diseases, immunodeficiency syndromes and infections of rare pathogens are diagnosed. Authors analysed retrospectively 10 children with chronic fever treated in the II Department of Pediatric Gastroenterology & Nutrition, Medical University of Wrocław. In those children we diagnosed Crohn's disease (1 case), cat scratch disease (1 case), systemic fungial infection in the child with short bowel syndrome (1 case), severe immunodeficiency syndrome (3 cases), intraperitoneal abscess in a child with Crohn's disease (1 case), severe toxic diarrhoea in the course of treatment with cyclosporin (1 case), Yersinia enterocolitica infection (2 cases). In the diagnostics of the prolonged fever in children various conditions and diseases ought to be considered.

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