Not Every Fever Infection! Especially if it repeats frequently…
We talked with the pediatric specialists of Hisar Intercontinental Hospital about PFAPA Syndrome which is the most common recurrent fever syndrome in children.
Experts say that the most common causes of recurrent fever in children are ear infections, throat and urinary tract infections; 'A child may experience upper respiratory tract infection 7-8 times a year. The number of these infections can reach 10-12 in nursery and kindergarten. However, recurrent fever syndromes should not be forgotten when the rhythmically recurring and fever persists despite treatment. '
PFAPA Syndrome
Without all of the recurrent fever syndromes, the body reacts as if it had encountered a germ, without a microbial condition causing the fever. For this reason, they are often diagnosed with throat or bowel infections and use intensive antibiotics and antipyretics. However, despite intensive treatment, the symptoms persist for 3-10 days and eventually resolve. Each time the same picture is repeated and patients have tonsil or appendicitis surgery from time to time. One of the most common recurrent fever is PFAPA syndrome. Fever attacks lasting 3-7 days are accompanied by aphthae in the mouth, throat inflammation and swelling of the gland in the neck. In some cases, headache and abdominal pain may accompany. When the fever is between 38-41ºC, it is more or less predictable by families.
If You Have These Symptoms!
- If your child's fever persists for 3-7 days (average 5 days) and falls suddenly,
- If there is abdominal pain, nausea, vomiting, sweating, chills, muscle-bone and joint pain as well as fever,
- If the glands on his neck are swollen on both sides,
- If there is growth in the liver and spleen,
- If aphthas occurred in the mouth (these aphthae are usually painless and heal quickly.
If the fever tends to fall suddenly and the general state of fever recovers quickly and is completely normal between attacks; your child may have PFAPA syndrome. Although PFAPA syndrome is a frequent episode, the development and growth of the child is not affected.
In blood tests, there is an increase in findings suggestive of severe inflammation in the patient. However, microbes cannot be detected in both throat cultures and other materials. The most important feature of PFAPA syndrome; As the age grows, the breaks are opened and spontaneous healing occurs within 4-8 years. The diagnosis is made after the elimination of other recurrent fever causes, especially Familial Mediterranean Fever. Patients diagnosed with PFAPA syndrome are given cortisone treatment at the beginning of febrile episodes and the disease is quickly controlled. With this treatment, the interval between attacks is often opened. In cases that cannot be controlled with cortisone treatment, nasal flesh and tonsil surgeries are also recommended. In cases where the fever recurs rhythmically, recurrent fever syndromes should be considered and the treatment should be planned after that.
46AXX
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