Types of fever in a child. What is a fever?
From the very beginning, the distinction between fever and other types of fever should be noted. A fever is a thermoregulatory increase in the temperature of the “core”, which is an organized and coordinated response of the body to illness or other damage, States in which the temperature of the “core” rises despite the body’s attempts to maintain euthermia (for example, heat stroke, malignant hyperthermia, atropine poisoning ), should be called hyperthermia, not fever. This difference will be explained in more detail in the relevant articles on our website MedUniver.
Not all types of fever are abnormal. For example, the temperature of the “core” can vary depending on the time of day, physical activity, ambient temperature, nature of food, and emotional state.
Fever is probably the most frequent and undoubtedly one of the most important symptoms of childhood illnesses. It accounts for 1/3 of all appeals to pediatricians and an even greater percentage of visits by pediatricians to children at home, as well as countless phone calls. A prospective study of the work of 9 private pediatricians in the state of New York showed that 10% of all visits to the doctor with children under the age of 2 years were associated with an increase in body temperature of up to 38.3 ° C and above. There is no child who has never had a fever, although some parents treat her calmly. It is difficult to name the day when the pediatrician wouldn’t address a child’s fever.
Fever can be observed in previously healthy children and in children suffering from chronic diseases in inpatients and outpatients. It can be a symptom of a completely trivial or fatal disease. Fever affects all ages, both sexes, all nationalities, as well as the poor and the rich.
It occurs any time of year and disturbs all doctors. Fever in patients occurs very often. Doctors believe that they already know all about the fever and the methods of its treatment. Meanwhile, in medical schools, surprisingly little time is devoted to teaching this important section. Only in the study of physiology and pharmacology usually pathophysiology and treatment of fever are briefly covered. However, the knowledge gained does not deepen, and this problem is not particularly highlighted in the study of clinical disciplines. Fever is only referred to as a symptom, without considering its pathophysiological significance.
Insufficient attention is paid to the discussion of the difference between the fever itself and other types of fever. In the guidelines on pediatrics, with a few exceptions, there are no sections devoted to fever, the issues of thermoregulation and the rational symptomatic treatment of elevated body temperature are not discussed. As a result, when meeting a patient with a fever or hyperthermia, the clinician may experience a false sense of calm and dangerous complacency.