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Related Concept Videos

Increased Body Temperature01:25

Increased Body Temperature

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A body temperature above  38°C  (100.4 °F) is known as fever or pyrexia, and a person with fever is termed 'febrile.' Typically, the hypothalamus, a part of the brain that acts as the body's thermostat, regulates body temperature through a thermoregulatory setpoint. It receives signals from cold and warm thermal receptors throughout the body and adjusts the body's temperature accordingly. Fever occurs when this hypothalamic setpoint is altered, usually in...
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Methods of reducing fever01:22

Methods of reducing fever

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The signs and symptoms of fever include hot and dry skin, flushed face, thirst, muscle aches, anorexia, headache, tachycardia, tachypnea, and fatigue. Elevated body temperature is reduced using two methods: pharmacological and nonpharmacological. Proper identification and treatment of the root cause of a fever is of utmost importance.
Pharmacological Methods of Reducing Fever:
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Types of Fever01:25

Types of Fever

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Fever can be triggered by several factors, including infections, nervous system disorders, certain cancers, blood diseases like leukemia, embolism, thrombosis, heatstroke, dehydration, surgical trauma, crushing injuries, and allergic reactions.
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Patterns of Fever01:26

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Before understanding the types and patterns of fever, it is essential to know its phases.
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Drug Dosing: Infants and Children01:29

Drug Dosing: Infants and Children

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Pediatric patient dosages diverge from adults due to disparities in body surface area, total body water, and extracellular fluid per kilogram of body weight. The dosing regimen considers the variations in pharmacokinetics and pharmacology across distinct age groups, encompassing preterm newborns, infants, young children, older children, and adolescents. Calculation of pediatric patient doses is predicated on determining body surface area, which exhibits a superior correlation with the child's...
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Pneumonia IV: Management01:28

Pneumonia IV: Management

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The treatment of pneumonia varies based on its severity and the causative pathogen. Here is a structured approach to managing pneumonia, integrating pharmaceutical and supportive care strategies.
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
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Related Experiment Video

Updated: Mar 6, 2026

A Neonatal Imaging Model of Gram-Negative Bacterial Sepsis
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A Neonatal Imaging Model of Gram-Negative Bacterial Sepsis

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Febrile infant update.

Kate Dorney1, Richard G Bachur

  • 1Division of Emergency Medicine, Boston Children's Hospital, Boston, Massachusetts, USA.

Current Opinion in Pediatrics
|March 22, 2017
PubMed
Summary
This summary is machine-generated.

Caring for febrile infants under 90 days is complex. Biomarkers like C-reactive protein (CRP) and procalcitonin aid in identifying serious bacterial infections (SBI), improving infant care.

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Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Neonatology

Background:

  • Febrile infants under 90 days present a diagnostic challenge.
  • Management strategies are evolving with new research.
  • Serious bacterial infections (SBI) require prompt identification.

Purpose of the Study:

  • To provide an updated review on managing febrile infants younger than 90 days.
  • To focus on the epidemiology of SBI, biomarker-based management, and novel diagnostics.
  • To refine diagnostic and management approaches for febrile neonates.

Main Methods:

  • Review of current literature on febrile infant management.
  • Analysis of biomarker utility (CRP, procalcitonin) for risk stratification.
  • Evaluation of novel diagnostic tools such as RNA and protein signatures.

Main Results:

  • High variability exists in emergency department management of febrile infants.
  • C-reactive protein (CRP) and procalcitonin are valuable for risk-stratifying infants.
  • Urine concentration impacts the diagnostic value of pyuria in suspected urinary tract infections (UTI).
  • Novel diagnostics show promise in identifying infants with serious infections.

Conclusions:

  • Urinary tract infection (UTI) is the most common SBI in febrile infants.
  • Procalcitonin and CRP in prediction algorithms help identify low-risk infants.
  • Accurate diagnosis of invasive bacterial infections in infants remains a challenge.