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Review
. 2025 Nov;43(4):697-714.
doi: 10.1016/j.emc.2025.06.012. Epub 2025 Aug 25.

Fever in the Not-So-Typical Pediatric Patient

Affiliations
Review

Fever in the Not-So-Typical Pediatric Patient

Amanda D Russo et al. Emerg Med Clin North Am. 2025 Nov.

Abstract

Fever is one of the most common chief complaints for patients in the pediatric emergency department (ED). Most of the time, these patients are diagnosed with a virus and treated with supportive care; however, there are a subset of patients with chronic conditions or special circumstances that require a more thorough approach when they enter the ED with a fever. This article will go into detail about why we must be on high alert when these children present with a fever and how we should approach them medically.

Keywords: Adrenal insufficiency; Fever; Implanted medical devices; Nephrotic syndrome; Pediatric; Sickle cell disease; Unvaccinated.

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Conflict of interest statement

Disclosure The authors have nothing to disclose.