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Fever
(Temperature) |
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Fever is common problem in childhood. Some time, fever
have short duration and illness usually lasts for
less than two weeks, but in some cases fevers rase
difficult diagnostic challenge.
In most of cases
short duration fever less than 2 weeks are due to
infection of viruses, bacteria or protozoa. Many of
these patients recover quickly before
precise diagnosis or treatment .The symptons are
malaise, headache, nausea, vomiting and impaired
appetite.
In some cases fever is due to the urinary tract
infection. Infection of urinary tract are equally
common in both male and female. After infancy, girls
are more suffer from urinary tract infection. Fever
in such infection are hectic, at times associated
with chills. Some patients may present with
fever, vomiting, diarrhea and abdominal. |
In meningitis the fever is marked
irritability and photophobia with
headache, vomiting. Meningitis and septicemia in the
first 4-6 month of infant have a typical symptoms.
Fever in malaria is common thing. Fever in malaria is
classically intermittent and replasing .It have a
typical manner especially in children's.
In typhoid fever is mostly due to poor standard of
sanitation and personal hygiene Typhoid fever are
usually evanescent and may be missed in dark skinned
person. The other cause of short duration fever is
heat hyperpyrexia, dehydration fever, allergy of drug.
fever in infants below 3 months of age may be
trivial or may be due to viral illness or due to
bacterial illness. Infants have a typical
activity, lethargy, respiratory
compromise irritability, weak sucking are at high
risk.
In fever is more than 2 week then it is prolonged
fever. The prolonged fever in children's is a
difficult
diagnostic problem and required proper judgment and
skill. The common cause are infection disease of
hyper sensitization neoplastic disorder. Sometimes
have immune deficiency disorders.
In all cases of prolonged fever infections
especially those which are more relevant must be
considered in differential diagnosis. In some cases
there is pulmonary or extra pulmonary tuberculosis
typhoid and paratyphoid fever, malaria, amebic
hepatitis and amebic liver abscess, may occur due
prolonged fever.
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