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Exercise-induced hyperthermia in childhood: a case report and pilot study
Tilmann Kallinich1, R Keitzer, E Puskas
1Department of Pediatric Pulmonology and Immunology, Charité, Humboldt University, Berlin, Germany. tilmann.kallinich@charite.de
Unlabelled:
Hyperthermia is characterized by an increase of body core temperature due to exogenous heat exposure and/or endogenous heat production. Contrary to fever the hypothalamic-controlled temperature set point remains unchanged.
Aim:
To demonstrate that exercise-induced hyperthermia is a common phenomenon in childhood.
Case:
We describe a 5-year-old boy, who attended our outpatient clinic with a 6-month observation period of exercise-induced hyperthermia with rectal temperatures up to 39.0 degrees C. Characteristically temperature dropped to normal values after cessation of exercise.
Method:
In eight children aged 5-8, tympanic and rectal temperatures were measured before and after exercise.
Results:
The rectal temperature increases frequently after exercise (p < 0.001), whereas tympanic temperature did not (p = 0.2).
Conclusion:
Benign hyperthermia should be considered in children with increased body temperature of unknown sources. The site of temperature measurement might be critical in the identification of this condition.
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Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
Step 2: Prepare the patient by explaining the procedure to ensure understanding and cooperation. Ensure privacy, expose the axilla, and inform the patient that minimal movement is crucial for an accurate reading.
Step 3: Adjust the patient’s clothing to expose only the axilla. It minimizes...

