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Distinguishing among prolonged, recurrent, and periodic fever syndromes: approach of a pediatric infectious diseases subspecialist
Journal article   Peer reviewed

Distinguishing among prolonged, recurrent, and periodic fever syndromes: approach of a pediatric infectious diseases subspecialist

Sarah S Long
The Pediatric clinics of North America, v 52(3), pp 811-835
Jun 2005
PMID: 15925664

Abstract

Algorithms Allergy and Immunology Anti-Inflammatory Agents - therapeutic use Cardiovascular Deconditioning Child Decision Trees Diagnosis, Differential Familial Mediterranean Fever - diagnosis Familial Mediterranean Fever - etiology Familial Mediterranean Fever - therapy Family - psychology Fever of Unknown Origin - diagnosis Fever of Unknown Origin - etiology Fever of Unknown Origin - therapy Humans Medical History Taking Medicine - methods Pediatrics - methods Periodicity Physical Examination Prednisone - therapeutic use Primary Health Care - methods Recurrence Referral and Consultation Specialization Treatment Outcome
Most children with prolonged, recurrent, or periodic fever are healthy and have self-limited, common illnesses, and the primary care practitioner usually can reassure families and continue to reassess the patient as circumstances dictate. For a child with true fever of unknown origin, a pediatric infectious diseases subspecialist should be consulted. This article discusses three objectives for the clinician: (1) to categorize patterns of fever illnesses and prioritize differential diagnoses; (2) to diagnose and manage the most frequently encountered prolonged fever syndrome, deconditioning; and (3) to expand knowledge and approach to diagnosing periodic fever syndromes. The approach described in this article represents the honed, 30-year experience of a pediatric infectious diseases subspecialist.

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