Management of Prolonged Pediatric Fever in the Emergency Department (Infectious Disease CME) | Points & Pearls
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Management of Prolonged Pediatric Fever in the Emergency Department (Infectious Disease CME)

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Points & Pearls Excerpt

  • Prolonged pediatric fever is most often due to self-limiting infectious illness but can sometimes be a sign of much more serious disease.
  • The care of the child with prolonged fever should begin with confirmation of the duration of true fever.
  • The gold-standard method of measuring core body temperature in children is by rectal thermometer. Peripheral measurements including oral (sublingual), axillary, temporal artery, and tympanic thermometers can vary from rectal temperature by >0.5°C (limits of agreement from -1.49°C to 0.43°C) in febrile children.9
  • When formulating a differential diagnosis for prolonged fever, it is important to consider diagnoses specific to pediatric patients. Keep in mind that certain conditions are seen more commonly in children, and other conditions may have a different presentation than in adults.
 
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Publication Information
Authors

Anneka Hooft, MD, MPH, FAAP; Morgan Leighton, MD, MPH

Peer Reviewed By

Kendall S. Luyt, MD, FAAP, FACEP; James Naprawa, MD

Publication Date

February 1, 2026

CME Expiration Date

February 1, 2029    CME Information

CME Credits

4 AMA PRA Category 1 Credits™, 4 ACEP Category I Credits, 4 AAP Prescribed Credits, 4 AOA Category 2-B Credits.
Specialty CME Credits: Included as part of the 4 credits, this CME activity is eligible for 3 Infectious Disease CME credits, subject to your state and institutional approval.

Pub Med ID: 41570317

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