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Chapter-37 Fever without a Focus

BOOK TITLE: Principles of Pediatric & Neonatal Emergencies

Author
1. Amdekar YK
ISBN
9788184489507
DOI
10.5005/jp/books/11182_37
Edition
3/e
Publishing Year
2011
Pages
4
Author Affiliations
1. BJ Wadia Hospital for Children; Jaslok Hospital and Research Center, Mumbai, Maharashtra, BJ Wadia Hospital for Children, Mumbai, Maharasthtra, BJ Wadia Children’s Hospital, Mumbai, Maharashtra, India, Grant Medical College and JJ Group of Hospitals, Mumbai; Jaslok and Breach Candy Hospital Mumbai, Maharashtra, India, Grant Medical College; JJ Hospital, Mumbai, Maharashtra, India, BJ Wadia Hospital for Children Mumbai; Jaslok Hospital and Research Center, Mumbai, Maharashtra, India, Wadia Children’s Hospital, Mumbai, Maharashtra, India, Breach Candy Hospital and Jaslok Hospital, Mumbai, Maharashtra, India, Jaslok Hospital and Research Center, Mumbai, Maharashtra, India, Grant Medical College and J J Group of Hospitals, Mumbai, Mumbai, Maharashtra, India, BJ Wadia Hospital for Children, Mumbai, Maharashtra, India, Grant Medical College and JJ Group of Hospitals, Mumbai, e-mail: ykakr@vsnl.com, Jaslok and Breach Candy Hospital Mumbai, Maharashtra, India, Jaslok and Breach Candy Hospitals, Mumbai Retired Pr
Chapter keywords

Abstract

Fever is merely a symptom with diverse causes resulting from varieties of pyrogenic stimuli. Though infection is a common cause of fever in clinical practice, other conditions such as immune mediated inflammatory diseases and malignant disorders are not uncommon. Miscellaneous conditions such as heatstroke, drug fever, central neurogenic lesions, thyrotoxicosis and factitious fever are rare. Fever without a focus is almost a rule in early stages of the disease. Thus accurate diagnosis in a child with fever is often not possible during first couple of days, excep in case of acute tonsillitis, cervical lymphadenitis or bacillary dysentery. These are the infections that are caused by direct local invasion and not through bloodstream. Systemic blood borne infections evolve a focus over few days.

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