On hyperpyretic conditions during infancy and childhood.: A clinical study of fever.

摘要: Summary. The author gives an account of a series 232 cases illness in children (0–12 years old), who, on at least one occasion, exhibited temperature 41.0°C. The most commonly recorded cause fever was acute and severe affection the air passages form pneumonia, bronchopneumonia capillary bronchitis. Meningites (tuberculous und purulent) were also relatively numerously represented. have been divided into three groups. Group 1 (121 individuals) comprises which, apart from condition, patient no provable morbid whom infection had not its site or essential focus brain meninges; group 2 (34 individuals), where meningitic cerebral closely allied conditions present; 3 (77 patients more less far-reaching somatic psychic conditions, defects independent present. treatment material, inter alia, has given following results: 1  Prognosis: total mortality amounts to 129 (= 56%). worst prognosis, with 33 deaths out 34 97%), next follows 52 77 (67.5 ± 5.3%), finally 1, 44 121 (36.4 4.4%). Within there is statistically verified higher for ages under comparison above years. A between within groups below years, shows good agreement statistical point view groups, this holds year same difference prognosis thus entirely due fact that are considerably represented than 3. 2  There special disposition fall ill hyperpyretic among who suffering grave defects. (For rest see casuistics discussion p. 6 13). 3  It possible greater before age but definite conclusion can be drawn as present material. 4  In ending fatally last taken highest 79.8 3.5% cases. together corresponding frequency 77.1 4.3%. In majority terminal together. study control material did exhibit during fatal illness, these dominating tendency towards rises temperature. observed death, earlier one. 5  Within it proves that, survivors, median measured 41.1°, while those died 41.5°. Among survivors maximum 41.2° dead. On other hand, temperatures 42.0° dead survivors. some 42.3°, 43.3°. 6   There only close time connection (cf. 4 above), all probability causal hyperpyrexia death. Above all, remarkable circumstance exhibits 3, will probably great importance onset For if factor exercise decisive influence, should better where—apart condition—morbid defects, themselves likely disimprove illnesses, observations 5 height quo ad vitam direction. 7   outcome pathogenesis is, factors importance: a) circulation disturbances, especially skin, b) disturbances central thermoregulation, c) insufficient attention physical thermoregulation conducted via skin matter clothing, room temperature, fluid supply, etc. 8   temperatures, fairly common typical symptom complex, which characterized by consciousness, frequently coma, general flaccidity muscles, possibly alternating convulsions, pallor hurrid, sometimes heavy racing respiration, weak, rapid pulse, implying imminent menace life. designation syndrome suggested complex. 9   Certain acute, menacing, often fatal, called “deaths eczema”, example syndrome. With too vigorous thorough-going salves bandages importance. condition (“Syndrome de pâleur-hyperthermie”, Ombeedanne) met after operative measures infants small children, syndrome. 10   primary object therapy case fully developed reduce promptly possible. Judging clinical experience, however, very difficult, impossible, and, Some favourable described. More important therapy, prophylaxis, consists, careful control, younger infections eczema, recently operated on. every sudden rise approaches must combated, (clothing, supply), help hydrotherapy antipyretics. risk overheating when result combined effect endogenous injuries (unsuitable, fitting, warm etc.), carefully watched children.