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Prolonged, Recurrent, and Periodic Fever Syndromes
Book chapter

Prolonged, Recurrent, and Periodic Fever Syndromes

Sarah S. Long and Kathryn M. Edwards
Principles and Practice of Pediatric Infectious Diseases, pp 117-127
2012

Abstract

Diagnosing and managing patients with prolonged, recurring, or periodic fever requires extensive review of symptoms and systems to establish onset and cardinal feature(s) of illness, to define the exact fever pattern, and to understand the context of illness within the patient’s family and past medical history. Temperature is interpreted with the use of norms for age and sex (Figure 15-1).1 At 18 months of age, mean rectal temperature for males is 37.7°C with a standard deviation (SD) of 0.38°C; thus, a rectal temperature of 38.5°C is <2 SD above the mean. [1st paragraph]

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