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KMID : 0378019810240110093
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New Medical Journal
1981 Volume.24 No. 11 p.93 ~ p.98
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A Clinical Study on Prolonged Fever in Children
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Abstract
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Authors reviewed the 86 patients with prolonged fever who were admitted to the Pediatric Department of Ewha University Hospital from Jan. 1973 to Dec. 1977.
The following results were obtained:
1) The children who were admitted with prolonged fever occupied 2.8% of total in-patients at the same pariod.
2) 23 cases were less than 1 year of age at admission and 40 were 1 to 6 years. So 73 per cent of total cases were less than 6 years of age.
3) The ratio of male to female was 1.6: 1
4) There was no significantdifference in seasonal incidence.
5) Three patterns of fever were observed: intermittent type 46 cases (53.5%), remittent type 30 cases (39.4%) and continuous type 10 cases (11.6%)
6) The final diagnosis as a cause of prolonged fever were as follows. Infections accounted for 64 cases (74.4%6), malignancy 7 cases (8.2%), collagen disease 5 cases (5.8%) and 10 cases (11.6%) remained undiagnosed at the conclusion of their hospitalization.
Certain relationships between diagnosis and age were noted. Infection was the most common etiology in all age -group but 78. 1% of these children were less than 6 years. Collagen disease and malignancy were more common in older than 6 years group.
7) The efficacy of various diagnostic stools were reviewed: chest X-ray was helpful in
making diagnosis in 41 cases (47.7%6), bone marrow and biopsy were in 8 cases (100%). Hematocrit and erythrocyte sedimentation rate were helpful in malignancy and colllagen disease.
8) The outcome on discharge were as´folllows: 64 cases (74.4%) were much improved, 16 cases (18.6%) dischared against advise without improvement and 6cases (7. %) expired.
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