The child with fever
In children aged 4wks to 5yrs body temperature should be measured using any one of:
· Electronic thermometer in the axilla.
· Chemical dot thermometer in the axilla.
· Infrared tympanic thermometer.
Fever in babies 6mths is rare. Fever >=38.5°C requires further investigation.
The majority of children with fever have a self-limiting viral infection that resolves without any problem. However, in the very young it is particular-ly important to consider the possibility of an underlying serious infection. When there is no apparent cause of infection, the differential diagnosis of fever includes the following.
· Respiratory tract infection.
· Meningitis and encephalitis.
· Viral infection.
· Bacterial gastroenteritis.
· Rheumatic fever.
· Post-vaccination fever.
Highlights the signs and symptoms of disease that requires spe-cific medical treatment