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Fever... when hot is too hot part 1

I remember one time I was working at a large hospital, and about 1 am a mother brought her toddler in with a rectal temperature of 106.5. Even for those of us who see a lot of kids with fever, that’s pretty high. We did a full evaluation including blood work, x-rays, and lumbar puncture and got the kid admitted to the pediatric service while we waited to see if the blood cultures grew anything.  This child did fine and went home after a couple of days. Fevers continue to be one of the most common reasons people come to the hospital or see their doctors, especially in the pediatric age group.

 

I like to educate people about fevers because there are so many misconceptions. Everyone’s grandmother has an antidote for fever. Everyone knows someone who knows someone whose “brain was fried” due to fever. So many myths, so little time…

 

Aside from some unusually high fevers, usually caused by issues other than infection (discussed in the next...

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