Patients who were treated on day 5 or less of fever had higher levels of serum albumin (36 ± 5 g/L vs 33 ± 5 g/L, P <.01) and serum ALT (115 ± 155 U/L vs 46 ± 49 U/L, P <.001) as well as a lower platelet count (354 ± 131 vs 403 ± 166, P =.02) than did control patients during the acute phase.
Patients treated on day 5 or less of fever had a shorter total fever duration (5.2 ± 1.9 days vs 8.0 ± 1.8 days, P <.0001), longer fever after IVIG treatment (1.5 ± 1.9 days vs 0.8 ± 1.3 days, P =.008), and less coronary artery ectasia at 1 year after KD onset (4% vs 16%, P =.02).
According to the Cochrane review, for each 100 patients treated with antibiotics compared to the placebo assigned group, one case less of rheumatic fever, two cases less of acute otitis media and 3 cases less of quinsy are produced [ 7, 8].
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When presenting to the emergency department (ED) with fever, it remains a diagnostic challenge to distinguish patients with potentially life-threatening bacterial infections from those with less significant causes of fever.
We found no statistically significant difference between FM1 and FM2 for time to first febrile malaria episode using either the case definition for clinical malaria (T ≥ 37.5 °C and parasite density ≥2500 asexual parasites/μl) or the less restrictive definition of fever and any level of P. falciparum parasitemia.
Under the protocol, if an eligible patient was stable and had had less than 3 days of fever, all investigations and antimicrobial therapy were deferred, and the patient was prescribed antipyretics and asked to return to the ED on the 3rd day of fever if it persisted.
To determine whether the ICI are manifestations of an acute infection that is cleared when acute signs of inflammation are resolved in KD (typically 8 weeks or less after the onset of fever [1]), we examined lung tissues from late-stage KD fatalities and controls.
Parents reported that the child had a history of fever less often in P. jirovecii positive episodes by univariate analysis, but no differences were found in the presence of fever as assessed at admission (Tables 1 and 3).
A suspected dengue case is defined as a patient with less than seven days of fever (≥38.5°C) without evidence of other cause of infection and with at least one symptom of pain (headache, retro-orbital pain, myalgia, arthralgia, back pain).
This prospective cohort study on 48 adult patients with DENV infected patients on the period of August 2011 January 2012 in 5 out-patient settings health facilities in Tangerang district, Banten province, Indonesia with chief complaint of fever less than 3 days.
