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KMID : 0377619730250060701
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Korean Jungang Medical Journal
1973 Volume.25 No. 6 p.701 ~ p.712
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A Clinical Observation on Febrile Disease in Infancy and Childhood (776 Cases)
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Abstract
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Fever is the most frequent presenting. symptom in pediatric field and especially in. emergency room. It is the pediatrician´s responsibility to a certain its cause and provide specific therapy when available. The study was conducted during the period of 5 years from January 1, 1968 through December 31, 1972.
Study patients consisted of 776 children under 16 year of age who admitted to Ewha Women University Hospital and rectal temperature of 37°5´C or above.
The analysis was chiefly based on annual incidence sex, age, underlying cause by disease and mortality rate. The following results are obtained.
1) There are no significant annual difference but slightly increased in a year of 1970 (170 cases) and 1972 (140 cases).
2) Monthly distribution was revealed as high in May (82 cases), June (106 cases), July (78 cases) and October (101 cases).
3) The male was 58.6% and the female, 41. 4%.
4) According to the distribution of age, there were high incidence under the 1 month of age (33.4%), 23% from 1 year through 2 year of age and 13% from 2 year to 3 year of age. The more increased age, the lower occurrence of febrile patients in pediatric age group.
5) The etiological classification of febrile disease in infancy and childhood proved to be pulmonary disease (33.4%), gastrointestinal disease (29%), infectious disease (20.9%), disease of central nerve system (6.6%), hematologic disorder (2. 3 °o), disease of genitourinary tract (1.4%), drug poisoning (1.4%), skin disorder (0. 6%) in order of frequency. Miscellaneous febrile disease accounted to 6.6%.
6) The most frequently encountered febrile disease was septicemia (37%) in infectious disease, bronchopneumonia (18%) in pulmonary disease, gastroenteritis caused by E. coli in gastrointestinal disease, leukemia (0.9%) in blood disorder and pyelonephritis (1. 3%) in the disease of genitourinary tract. Cellulitis (0. 3%) was predominantly highest in skin disorder. Salicylate poisoning and parathion into xication were 0. 3%, respectively in the patient of drug poisoning. Toxic encepalopathy (3.4%) was also highest in the disease of central nerve system.
7) Unknown origin of febrile disease was only accounted to 0. 3% among all febrile disease.
8) The temperature was recorded prior to treatment. The patient was highest(44.8%) in the group of the moderate degree of temperature (38°1´-39°C).
9) Routine hematologic examination including hemoglobin, total leukocyte count, erythoryte sedimentation rate was no appreciated clinical significance.
10) The findings of chest X-ray was not correlated with clinical findings in the almost cases of pulmonary disease.
11) The commonest causative organism by blood culture was staphylococcus aureus (11. 0%). E. coli(35. 6%) grew on stool culture as the most common pathogenic organism in the gastointrestinal disease. Staphylococcus aurcus(37. 851,,) by throat swab . culture was first pathogenic group in the disease of respiratory tract.
12) The temperature was almost normalized within 4 days among 3/4 of all patients after appropriate treatment including antipyretics, alcohol sponging and some antibiotics.
13) The mortality rate was 2.8%,
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