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A Clinical Study on Prolonged Fever in Children

Journal of the Korean Pediatric Society 1976;19(6):397-402.
Published online June 30, 1976.
A Clinical Study on Prolonged Fever in Children
Jung Won Park, Young Won Park, Chong Moo Park
Department of Pediatrics Hanyang University School of Medicine
小兒의 長期熱
朴正達, 金英嫄, 朴鍾茂
漢陽大學校 醫科大學 小兒科學敎室
48 children with prolonged fever who were admitted to the pediatric department of Hanyang University Hospital from May 1, 1972 to Dec. 31,1975 were clinically analized and summarized as follows. 1)The children who were admitted with prolonged fever occupied 1.3% of total in-patients at same period. 2)The peak age incidence was between 4 and 6 years of age (31.2%). 3)The sex incidence revealed a male predominance with the ratio of 1.8 : 1. 4)The peak seasonal incidence was in summer (39. 6%). 5)Three patterns of fever were observed: continuous type 5 cases (10.4%); remittent type 17 (35. 5%); and intermittent type 26 (54.1%). 6)The chief complaints on admission were as follows: moderate to high fever in 48 cases (100%); coughing in 20 (41. 6%); headache in 12 (25.0%); dyspnea in 10 (20.8%); loss of consciousness in 9 (18.8%); abdominal pain in 8 (16.8%); and convulsion in 7(14.5%). 7)The final diagnoses as a cause of fever were as follow. Infections accounted for 38 cases (78.0%), malignant disorders 2(4.2%), collagen disorder 1(2.1%),and miscellaneous cause 1 (2.1%). 6 cases (12.4%) remained undiagnosed at the conclusion of their hospitalization. 8)The efficacy of various diagnostic tools were reviewed: routine examination such as CBC, Urinalysis and chest X-ray was helpful in making diagnosis for 17 cases (36. 0%); well reviewed history and physical findings were in 32 (68. 6%); bone marrow and lymph node biopsy were in 3 (100%). 9)The final results and prognosis on discharge were as follow: 37 cases (77.1%) were much improved, 8 cases (16.6%) discharged against advice without improvement, and 3 cases (6. 3%) expired.

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