SINDROME FEBRIL EN PEDIATRIA PDF

The most frequent causes are infections, autoimmune and tumors. Even though most cases are self-limited there is a minority that has an underlying etiology with an ominous forecast, encouraging a systematized study. Objective: To report a rare case of a boy who presented fever of unknown origin associated to panniculitis and was diagnosed of subcutaneous panniculitis-like-T cell lymphoma and to emphasis the importance of a sequential study of FUO, in order to reach a diagnosis in patients who need a timely intervention. Clinical case: A ten year old boy, previously healthy, presented subcutaneous nodular lesions of 2 month of evolution, located in abdominal region and extremities, given few symptoms, associated with prolonged fever. He was hospitalized for proper study, in first instance infectious and immune causes were discarded and through lesions biopsy the diagnose of subcutaneous panniculitis-like-T cell lymphoma was reached. Conclusion: When FUO is diagnosed, most prevalent causes must be discarded.

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Temas de FC M. No se ha conseguido identificar el gen o genes que confieren susceptibilidad para el desarrollo de CF. Edad Aunque las CF solo se padecen en un periodo de la vida en el que el cerebro es inmaduro, no se pueden atribuir solamente a este factor. Menos de un tercio de las CF son complejas. Aunque raramente el pediatra de AP presencia la crisis, la anamnesis cuidadosa a la persona que ha estado presente durante la crisis es suficiente.

La probabilidad de epilepsia posterior es muy escasa. En la tabla II, se recogen los factores de riesgo que se asocian con mayor probabilidad al desarrollo de epilepsia 2, Tratamiento El tratamiento inmediato de la CF tiene un doble objetivo: controlar la crisis y su causa, e informar a los padres. En estos casos, el tratamiento con benzodiacepinas no es necesario. Se tiene que informar a la familia del bajo riesgo de desarrollar epilepsia, sobre todo, si no existen los factores de riesgo asociados comentados previamente.

En las CFC, se recomienda en casos muy seleccionados. Febrile seizures. Clinical features and evaluation of febrile seizures. Up to date. Pediatr Integral. Febrile seizures: an update. Arch Dis Child.

Low risk of bacteremia in children with febrile seizures. Arch Pediatr Adolesc Med. Evid Pediatr. Distribution of febrile seizure duration and associations with development. Ann Neurol. Risk of bacterial meningitis in young children with a first seizure in the context of fever: a systematic review and meta-analysis. PLoS One. Clinical Practice Guidelines. Febrile Convulsion. Treatment and prognosis of febrile seizures.

Midazolam versus diazepam for the treatment of status epilepticus in children and young adults: a meta-analysis. Acad Emerg Med. Prophylactic drug management for febrile seizures in children. Cochrane Database Syst Rev. Motivo de consulta.

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