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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
Acta Paediatrica (Oslo, Norway : 1992)
|July 30, 2009
Summary
Exercise can cause elevated body temperature in children, known as exercise-induced hyperthermia. This benign condition is common and resolves when activity stops.
Area of Science:
- Pediatrics
- Exercise Physiology
- Thermophysiology
Background:
- Hyperthermia involves elevated body core temperature from external heat or internal heat production.
- Unlike fever, the hypothalamic temperature set point remains unchanged in hyperthermia.
Observation:
- A case study of a 5-year-old boy presented with exercise-induced hyperthermia, showing rectal temperatures up to 39.0°C.
- Temperatures normalized after exercise cessation, indicating a transient, benign condition.
Findings:
- Rectal temperatures significantly increased post-exercise in eight children aged 5-8 (p < 0.001).
- Tympanic temperature measurements did not show a significant increase (p = 0.2).
Implications:
- Benign hyperthermia should be considered in pediatric cases of unexplained elevated body temperature.
- Accurate temperature measurement site is crucial for identifying exercise-induced hyperthermia in children.
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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...
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...

