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The Clinical Course of Childhood Asthma in Association With Fever
A. Sahib El-Radhi, FRCPCH, PhD*
and
Swatee Patel
* To whom correspondence should be addressed. E-mail: sahib.el-radhi{at}hotmail.co.uk.
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Abstract |
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Little attention has been given to the relationship between fever and the severity of asthma. The authors studied 202 successive admissions of children with asthma over a period of 16 months to investigate the relationship between fever and the clinical course of asthma. There were 38 febrile children (18.8%), who were mostly younger than 5 years. Febrile children had a shorter mean hospital stay than afebrile children (1.7 vs 2.0 days). There were 25 episodes of acute severe asthma (13%): 2 among the 38 febrile children (5.2%), compared with 23 episodes among the remaining 164 afebrile children (14%). Three children, who had very severe asthma requiring transfer to an intensive care unit, were afebrile. Radiological abnormalities (collapse/consolidation) occurred in 13 cases: 3 from the febrile and 10 from the afebrile group. Monitoring body temperature is important in cases of asthma. Febrile children tend to be younger and are more likely to have a less severe clinical course of asthma.
First published on April 30, 2009, doi:10.1177/0009922809335320
Clinical Pediatrics 2009;48:627.
A more recent version of this article appeared on July 1, 2009
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