Fever in children with acute non-communicable diseases – options
Acute rheumatic fever and acute glomerulonephritis are non-purulent long-term effects of a bacterial infection. An example of acute febrile diseases of unexplained etiology is lymph node syndrome with mucous-skin changes and Henoch-Schönlein vasculitis.
Dehydration and heat stroke can cause a sharp rise in body temperature, which is not a fever in the strict sense of the word, but sometimes manifests itself as an acute attack of fever.
Important causes of fever include surgical diseases, especially in the abdominal cavity, such as appendicitis, torsion or rupture of an ovarian cyst, invagination, and intestinal obstruction. Special vigilance in relation to fever associated with such intra-abdominal non-communicable diseases, the doctor must exercise in young children.
These diseases are more life-threatening than many infections and require urgent treatment. It is known that younger children can not accurately indicate the localization of clinical symptoms and words to describe their feelings. So, the cause of the disease, occurring as a viral infection, which is accompanied by vomiting, in fact, may be invagination or torsion of the intestines.
Fever can also be observed with injury. The close connection between fever and burns, even in the absence of infection, is so well known that it does not require special explanation. Temperature may increase with less severe tissue damage.
In one of the observations, fever was observed in 36 of 78 previously healthy children with a hip fracture. Although on average a fever appeared 5 days after the injury, in some children it appeared already on the first day and in 8 patients on the second day. The authors considered fever to be above 38 ° C fever, and they took into account only those patients who could not find another reason for fever.
In 15 cases, the temperature was above 38.5 ° С and in 4 cases – above 39 ° С. Illingworth also admits that trauma can cause fever in children. According to Atkins, the fever that develops during the crushing or fracture of large bones is caused by the body’s inflammatory response to tissue damage.