BACKGROUND Fever is a reliable sign of illness, but it also evokes fear and anxiety. It is not the fever itself but the fear of possible complications and accompanying symptoms that is important for pediatricians and parents. OBJECTIVES We aimed to investigate maternal understanding of fever, its potential consequences, and impacts on the treatment of children. PATIENTS AND METHODS A questi...

A 7-year-old boy presented with fever of one month duration. On examination, he was febrile, liver and spleen were palpable 4 cms below costal margin. Initial investigations revealed a hemoglobin of 8.2 g/dL, TLC1800/mm3, Platelet-42,000/mm3, MCV-94.6 fl, MCH25.3 pg, MCHC-26.7g/dL. His peripheral smear revealed pancytopenia, macrocytes and microcytes. Serum widal titers were below 1:80. Blood c...

Vaccinating pregnant women in order to protect them, the fetus, and the child has become universal in no way at all. Prejudice in health professionals add to fears of women and their families. Both these feelings are not supported by even the smallest scientific data. Harmlessness for the mother and the child has been observed for seasonal, pandemic, or quadrivalent influenza, mono, combined po...

Objective: Decision making for health care at the household level is a crucial factor for malaria management and control among young children. This study sought to determine exactly how mothers reacted when faced with fever in a child. Design: Qualitative study based on in depth semistructured interviews of mothers and free form discussion with traditional healers (Nganga). Setting: Village of ...

BACKGROUND The American Academy of Pediatrics (AAP) introduced revised return-to-care recommendations for mildly ill children in 2009 that were added to national standards in 2011. Child care directors' practices in a state without clear emphasis on return-to-care guidelines are unknown. We investigated director return-to-care practices just before the release of recently revised AAP guidelines...

During a study of factors influencing the rebound phenomenon in rheumatic fever, a high incidence of infections, especially the dental abscess, was found in children treated with cortisone or corticotrophin (Holt, 1956). These dental lesions showed several unusual features, and so that more could be learnt about them and their relationship to the rebound phenomenon, 34 children treated for rheu...

did not yield any organism. Child improved with ICD and antibiotics therapy without any sequale. An earlier study noticed empyema following kerosene poisoning and attributed it to aspiration of oral microorganisms and to impairment of pulmonary defence mechanism(3). Similar mechanism was also explained in other studies(4,5). Accidental kerosene poisoning continues to be a common childhood menac...

Case report A 3 year old boy presented with 3 days of fever, rash, pharyngeal and gingival erythema, and swollen extremities. Laboratory investigations revealed leukocytosis, C– reactive protein 25.8 mg/dl, and erythrocyte sedimentation rate 100 mm/hr. Echocardiography disclosed diffuse dilatation of all proximal coronary arteries. The child received IVIG (2g/kg) and aspirin (100 mg/kg/d) with ...

Background: Fever is the most common complain of a child presenting to health care setting. A prolonged fever however, an intriguing challenge for clinicians and remains overly medicated inappropriately worked up, provided systemic approach not followed. Our study aims find etiologic diagnosis in these cases fever. Methods: The present was conducted tertiary hospital southern Rajasthan over per...

Rosai-Dorfman disease (RDD) is a type of sinus histiocytosis. It rare (1:200000), particularly in children and commonly presents with massive, painless usually bilateral cervical lymphadenopathy along fever weight loss. Leukocytosis, elevated erythrocyte sedimentation rate hypergammaglobulinemia are common. A definitive diagnosis can only be made by histological analysis affected lymph nodes. E...