Long Sarah S
Department of Pediatrics, Drexel University College of Medicine, Philadelphia, PA 19134, USA.
Pediatr Clin North Am. 2005 Jun;52(3):811-35, vii. doi: 10.1016/j.pcl.2005.02.007.
Most children with prolonged, recurrent, or periodic fever are healthy and have self-limited, common illnesses, and the primary care practitioner usually can reassure families and continue to reassess the patient as circumstances dictate. For a child with true fever of unknown origin, a pediatric infectious diseases subspecialist should be consulted. This article discusses three objectives for the clinician: (1) to categorize patterns of fever illnesses and prioritize differential diagnoses; (2) to diagnose and manage the most frequently encountered prolonged fever syndrome, deconditioning; and (3) to expand knowledge and approach to diagnosing periodic fever syndromes. The approach described in this article represents the honed, 30-year experience of a pediatric infectious diseases subspecialist.
大多数长期、反复或周期性发热的儿童身体健康，患有自限性的常见疾病，初级保健医生通常可以让家长放心，并根据具体情况继续对患者进行重新评估。对于真正原因不明发热的儿童，应咨询儿科传染病专科医生。本文讨论了临床医生的三个目标：（1）对发热疾病模式进行分类并对鉴别诊断进行优先级排序；（2）诊断和管理最常遇到的长期发热综合征——失适应；（3）扩展对周期性发热综合征的认识和诊断方法。本文所述方法体现了一位儿科传染病专科医生30年的丰富经验。
