Many children may develop some physiological characteristics during their growth period. These physiological characteristics require vigilance and corresponding preventive measures. Patients with growth-related fevers show symptoms that are no different from normal ones. The fever will not last too long, generally lasting about 1 to 2 days, and may be accompanied by body pain, which is different from the common cold. Causes of symptoms (I) Long-term "unexplained" moderate or high fever This refers to a fever above 38°C that lasts for two weeks or longer, with fever as the main complaint, and the cause of the disease is unknown after medical history, physical examination and routine tests within one week of hospitalization. 1. Infection (1) Systemic: seen in miliary tuberculosis and disseminated tuberculosis, typhoid and paratyphoid, sepsis and infective endocarditis, and other infections such as brucellosis. (2) Limitation: seen in liver abscess, amebic and bacterial abscess, biliary tract infection, genitourinary tract infection, intra-abdominal abscess such as subhepatic, subdiaphragmatic, paracolonic, periappendiceal, retroperitoneal, and pelvic abscess, etc. 2. Malignant tumors It is seen in primary liver cancer, lymphoma, malignant histiocytosis, various leukemias, and other various solid cancers, such as lung cancer, kidney cancer, colon cancer, etc. 3. Connective tissue-vascular diseases Including systemic juvenile rheumatoid arthritis, allergic subsepsis, systemic lupus erythematosus, polyarteritis nodosa, dermatomyositis, etc. 4. Others Such as granulomatous hepatitis, drug fever, pseudofever, body cavity blood accumulation such as hemothorax, hemoperitoneum, pulmonary infarction, etc. (ii) Long-term low fever Any oral temperature above 37℃ to around 38℃ that lasts for more than one month is called long-term low fever. The causes of long-term low fever can be divided into two categories: organic and functional: 1. Organic low fever (1) Chronic infection: such as tuberculosis, liver disease, chronic pyelonephritis, chronic biliary tract infection and various focal infections (sinusitis, tooth root abscess, prostatitis, chronic pelvic inflammatory disease, perianal abscess, etc.). |
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