Fever

Fever in different age groups (<1mo, 1-3 mo, >3 mo)
Kawasaki disease
Meningitis
Occult bacteremia /sepsis
Urinary tract infection
Viral

  • Describe the pathophysiology of thermoregulation and define fever
  • List and classify common pathogens that cause fever
  • List non-infectious causes of fever
  • Describe the modes of transmission of infectious agents and means of prevention
  • Demonstrate competence in the application of universal precautions
  • List and classify the common pathogens causing urinary tract infections in children
  • Describe the basic principles of pharmacology used in the management of fever and infectious and non-infectious febrile conditions

Overview & Foundational Knowledge

Avner, JR.  Acute fever.  Pediatrics in Review 2009; 30(1): 5-13.  

Overview on pathophysiology and management of acute fever.

Mann, K & Jackson, MA.  Meningitis.  Pediatrics in Review 2008; 29(12): 417-430.  

Overview on bacterial, viral, TB and fungal meningitis, management, complications and long term sequelae.

Ishimine, P. Fever without source in children 1 to 36 months of age. Pediatric Clinics of North America 2006; 53: 167-194.  

A lengthy but quite complete overview. Includes foundational knowledge.

Fever without a focus in less than 3 months. Pedscases podcast.

Interview with a Pediatric ID specialist from University of Alberta. Good summary. Free download on iTunes.

Son MB & Newberger J.  Kawasaki Disease.  Pediatrics in Review 2013; 34(4): 151-162.

Overview article on Kawasaki disease, manifestations, differential diagnosis, treatment, cardiac complications- good pictures and tables.

Clinical Resources

Temperature measurement in paediatrics

http://www.cps.ca/en/documents/position/temperature-measurement

http://www.cps.ca/fr/documents/position/mesure-de-la-temperature

Canadian Paediatric Society Position Statement (2000, 2013)

Urinary tract infection: Clinical practice guideline for the diagnosis and management of the initial UTI in febrile infants and children 2 to 24 months.  Pediatrics, 2011; 128(3): 595-610.

Clinical practice guideline from the Subcommittee on UTI, steering committee on quality improvement and management.

Virtual Patients or Cases

Prolonged fever.

Access through www.pedscases.com

Clinical Presentations