An evidence-based approach to managing seizures associated with fever in children
2001; BMJ; Volume: 175; Issue: 4 Linguagem: Inglês
10.1136/ewjm.175.4.254
ISSN1476-2978
Autores Tópico(s)Thermal Regulation in Medicine
ResumoA previously healthy 19-month-old boy is rushed to the emergency department (ED) after he was found unconscious at home by his mother. As she went to wake him from his afternoon nap, she heard a short cry. She found him lying on his back, rigid and unresponsive, apparently not breathing, and with blue lips. On arrival in the ED, his breathing and circulation were adequate. His pulse rate was 110 beats per minute, his blood pressure was 100/60 mmHg, and his temperature was 39.9 °C (103.8 °F). On examination, the boy is lethargic and confused but seems to recognize his mother. Apart from slight redness of the pharynx, there is no obvious focus of infection and no rash. Neck rigidity is difficult to evaluate because he actively resists examination and refuses to sit.
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