Open the window, ventilate the room. It is necessary to measure correctly, as written in the instructions. ", "My little one had 101F-103F fever for about four days and there were no other symptoms at all. Most bacteria and viruses are killed; the synthesis of interferon-gamma, the production of antibodies, phagocytosis (destruction of microbes) are enhanced at t38.0 C. The reproduction of viruses, bacteria stops. What pediatricians are saying about all that screen time during the pandemic. The following conditions can cause a fever:Infectious diseasesCertain medicinesHeat strokeBlood transfusionDisorders in the brainSome kinds of cancerSome autoimmune diseases Take off his clothes. Assess the childs well-being. You are welcome to start over with more detail. If it is within normal limits, it is likely that the temperature is caused by a non-infectious agent. Viral infections are the etiological part of common pathologies with cough, flu, diarrhea. When parents notice a malfunction, they tend to panic. MedTerms online medical dictionary provides quick access to hard-to-spell and often misspelled medical definitions through an extensive alphabetical listing. Seek immediate medical attention if any of these signs or symptoms accompanies a fever: There is a problem with Parasitemia began after splenectomy, and the maximum parasitemia was determined to be 1.9%. To obtain an accurate reading using a thermometer, wait at least 15 minutes before you finish the measurement. This content does not have an Arabic version. information is beneficial, we may combine your email and website usage information with WebThe symptoms of a recurrent fever are very similar to a typical fever. https://www.merckmanuals.com/professional/infectious-diseases/biology-of-infectious-disease/fever. The American Academy of Pediatrics says a fever may be the only symptom your child experiences for the first 24 hours of a viral infection, before other symptoms, such as a runny nose or cough, appear. The fever rises above 104F (40C). After taking the medicine, vasospasm passes, heat transfer is normalized, t decreases more efficiently. Rubella, measles, chickenpox, scarlet fever become more frequent after 2 3 years: children begin to attend kindergarten, where they can come into contact with infected people who do not yet have a rash. Plaque and pustules form on the mucous membrane of the tonsils, but at the initial stage these phenomena may be absent, only a high temperature in a child without symptoms. If we combine this information with your protected And they may know this. My 3 year old has had a really high temp for two days now, it comes down with Calpol but at end of calpol 4 hour cycle its up to 39.9 Ish. What are you calling high fever? aches and pains. Accessed Feb. 7, 2022. Complications of fever may develop if this symptom is not taken into consideration for a long time and this leads to late diagnosis of various diseases. Fever is a sign that your child's body is struggling with an infection or a disease. MedicineNet does not provide medical advice, diagnosis or treatment. Symptoms Fever Toothache Jaw Pain Facial Swelling Loose Tooth Bad Breath 2. The most common causes of acute fever are: Newborns and small children are at higher risk for some serious infections, as their immune system is not fully developed. Parents need to know what can cause this and what to do about it. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. It is used in children from six months. At this stage of the fever, your child will not be happy when you try to cool it, since it will already feel cold. It's one part of an overall response from the body's immune system. Fevers above 104 F (40 C) are dangerous. U.S. Centers for Disease Control and Prevention. Osteomyelitis, hepatitis, tuberculosis, cancer, leukemia, arthritis, and other pathologies may be accompanied by a febrile condition. Therefore, minor hyperthermia may be the only manifestation. They happen to approximately 2 to 5% of children age five and under in the United States. Perhaps he has become lethargic, sleepy, constantly begs for his arms, is naughty, eats poorly. Probably the #1 presentation for a "run of the mill" viral illness in your Developing brains needs the right foods to boost learning and improve concentration. Sometimes children can not verify their complaints, so they should be carefully questioned. Required fields are marked *. The American Academy of Pediatrics also writes that Roseola is a classic case of unexplained fever in children between six months old and three years old. Slowly add cool water to the bath, which lowers body temperature. They have an illustrated guide on how to use a rectal thermometer here. And only on the second or third day there may be a rash on the body, enlarged lymph nodes, which speaks already of the picture of rubella. Infrared thermometer determines the temperature on the tympanic membrane. The causative agent is often streptococcus. Treatment of high temperature is primarily symptomatic measures. Place the baby on the stomach or on the bed, then gently insert the tip to 1/2 into your baby's rectum. This is a well-known truth, but it is not always so. All the symptoms associated with harmless viral fevers can also occur in more serious diseases. Try not to touch the nose, mouth or eyes, as these are the main ways of penetration of viruses and bacteria into the body. How to protect yourself & others. Alternative treatment of high temperature in a child without an obvious cause can be aimed at reducing such temperature by alternative methods. This is a natural process of regulation of physiological processes. Ibuprofen is a medicine that has pronounced analgesic properties, as well as anti-inflammatory and antipyretic properties. Quite possibly 37.0 C is normal for your preschooler. Advertising revenue supports our not-for-profit mission. You can also contact us! MYTH. Fever is also the second most common reason that a child is hospitalized, and this can be a cause of great concern for the parents. See additional information. The NIH says to call an ambulance and go to the emergency department if a seizure lasts for more than five minutes. El mercado de valores alcanz un rcord histrico hoy. WebEncephalitis is a rare disease that has symptoms similar to that of flu and cause headache and fever in child. Febrile seizures fact sheet. However, some vaccinations can cause fever even after 1 or 2 weeks after vaccination (as with measles vaccination). In this regard, we warn you that the translation of this article may be incorrect, may contain lexical, syntactic and grammatical errors. Eventually, the body temperature reaches a new "thermostat" setting, and the feeling of cold goes away. Between 3 and 6 months old and has a temperature higher than 38.9C (102F). All fevers are bad for children. Therefore, be attentive to your baby and do not panic for no reason. Next, we will tell you why this happens. Focus on the values that you received earlier. Oct 16 2021. If the dose is exceeded, they can cause damage to the liver and kidneys. Wipe your son or daughter with a towel dampened with water. Sometimes viral infections activate more serious diseases. 1996-2021 MedicineNet, Inc. All rights reserved. Hyperthermia develops against the background of acute and chronic pathologies listed above, or is normal for a small person. Should you wish to fine-tune the search results using additional search parameters, please use our detailed search. cough (persists for days-weeks after other symptoms disappear), sinus symptoms, headache, NO fever. In this case, the installation of the thermostat again drops to a normal level, and the body tries to lose the additional heat that it has. Such infections can be acquired before birth or during labor and include sepsis (serious blood infection), pneumonia (infection of the lung alveoli), and meningitis (infection of the tissues that cover the brain). Ask him if something hurts him: ear, throat, stomach. The same applies to roseola, it can begin with a subfebrile condition. Under the arm (Armpit) temperature: 99 F (37.2 C) or higher. Children can be moody, restless, gums swell. Up to two years old, children have a thermoregulation mechanism, a special way of life. Lastly, they write that sponging your child with cold water is rarely needed and could end up making your child more uncomfortable. Children who have this condition may develop a sore throat and mouth sores along with swelling of glands in the neck during a fever episode. Paracetamol is a medicine from the group of painkillers and antipyretics, which has been used in pediatrics since two months. Precautions - do not use in the treatment of children younger than two months. If the elevated temperature has persisted for more than 2-3 days, your child should be evaluated by his pediatrician to determine the cause. Accessed Feb. 9, 2022. The only sign is the deviation of the thermometer values. Fever in young children usually means that they have a certain infection. Accessed Feb. 9, 2022. Therefore, monitor the babys health, follow the doctors recommendations for treatment. But it is impossible to ignore the complaints of the crumbs, even if there is hyperthermia for no reason. They also recommend not using oral thermometers until your child is four years or older. However, bacteria can also cause infected skin rashes. Antnimo low record high/all-time high the highest point ever rcord The stock market reached a record high today. The vessels contract, the skin turns pale, and sweating decreases. Side effects can be in the form of dizziness, headache, nausea. Pediatric Telephone Protocols: Office Version. Increased salivation is characteristic. shrill, strong (on the senses) synonyms for high Compare Synonyms big great huge immense large lofty long soaring steep tremendous aerial elevated giant grand alpine altitudinous colossal eminent formidable gigantic high-reaching Dosage of the drug for children up to a year - one candle in a dose of 150tys. WebPatient is a one-year old child with a high fever and rapid stridor development. We have the answers on whether youll owe taxes on the Child Tax Credit, what you can use it for, how to change your bank account info or address, and more. The hypothalamus acts as a central heating thermostat. The likely causes of fever depend on whether it lasts 14 days or less (acute) or more than 14 days (chronic), and the age of the child is important. Accessed Feb. 7, 2022. AskMayoExpert. Paracetamol has antipyretic, analgesic effects. These conditions require the exclusion of dangerous conditions. Use a hand sanitizer when you do not have access to soap and water. https://www.uptodate.com/contents/search. The temperature reading is not the only sign of fever severity. During that time, you might have the following symptoms: Runny nose. All iLive content is medically reviewed or fact checked to ensure as much factual accuracy as possible. Call your child's health care provider if your child: Ask your child's health care provider for guidance in special circumstances, such as a child with immune system problems or with a preexisting illness. Vitamins can be used for children who are often ill. For this purpose it is better to use complex children's vitamin preparations - Supervit, Univit, Medvezhuiki. We also discuss what a high fever is versus a mild fever (hint: it depends on the childs age and thermometer/tool you are usingand there is a lot of variation among experts). Find more similar words at wordhippo.com! 16 And the symptoms might be caused by conditions like juvenile rheumatoid arthritis, inflammatory bowel disease, or even reactions to medications. She asked for a strep culture that was negative as well. Do not forget that t weakens the body. You may want to consult your doctor though if you notice fever without other symptoms in child. After a while, a rash appears: finely spotted, draining, pink, pale, vesicles, pustules, of different localization. If you put a hot object on your forehead: a cup of tea, a bottle of water, your forehead will also be hot. The immune system changes. This means your child makes eye contact with you and responds to your facial expressions and to your voice. Don't wait for things to improve, especially if you're not sure about something. https://www.uptodate.com/contents/search. Analyzes and instrumental diagnostics at elevated temperature is carried out already in the direction of the doctor. The general symptoms associated with a fever can include: chills. It is not always easy to judge how sick your child is, or you should seek medical help. MYTH. Waste products (toxins) of a microorganism, inactivated or killed microorganisms, synthetic drugs can be introduced. The first signs of such an infection are the temperature increase. Mine have had temps with no other symptoms before and nothing came out of it. Elsevier; 2020. https://www.clinicalkey.com. the child resolves the fever but other symptoms (eg. Translation Disclaimer: The original language of this article is Russian. Two things may happen: Generally, in your child's age range, after 48-72 hours of fever you should contact your doctor's office and This is understandably worried about the parents. Fevers below 104 F (40 C) associated with common viral infections, such as the flu, may help the immune system fight disease and are generally not harmful. Make your child smarter and healthier with these brain-boosting meals! Taking anamnesis helps in the diagnosis. Fever lasts more than 3 days Fever returns after being gone more than 24 hours Recent travel And sometimes they recommend doing nothing. This is probably the most common reason why parents turn to a doctor. Less common causes of acute fever without other symptoms include the side effects of vaccination and the effect of certain medications. Webhigh ( ha) adj 1. being a relatively great distance from top to bottom; tall: a high building. The fever will last 4 to 7 days. weakness or lack of energy. headache. A fever is a temporary rise in body temperature. How Does Sleep Training Affect (Screaming and Stubborn) Toddlers? lack of appetite. The water should be warm, cold will lead to vasospasm and the opposite effect. If it is cold outside (for example, mom wipes with cold water), the feeling of chilliness, vasospasm intensify. Approach to fever or suspected infection in the normal host. We sweat less and feel dry to the touch, then there is a shiver (the movement tends to rise in temperature), and since we feel that we are cold, we curl up and look for different ways of heating up. With 101 F I would monitor the situation with no treatment. Body temperatures vary slightly from person to person and at different times of day. The rash disappears after 1 to 3 days and usually the child feels fine. WebBabies and infants having high fever with no other symptoms may be affected with bacteremia. It can be lower in the morning and higher in the late afternoon and evening. Many things can cause a high temperature in children, from common childhood illnesses like chickenpox and tonsillitis, to vaccinations. fussiness or irritability. In infants, the characteristic signs are a sudden cry with arching, poor appetite, vomiting, photophobia. 3. a. Fevers by themselves may not be a cause for alarm or a reason to call a doctor. A fever is a particular cause for concern in infants and toddlers. This content does not have an English version. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Mayo Clinic on Hearing and Balance - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Fever treatment: Quick guide to treating a fever, Mayo Clinic Minute: Acetaminophen aids with fever, pain, Mayo Clinic Minute: What to do and not do when your child has a viral fever. Immunity is critically reduced, and resistance to infections suffers. SARS become a frequent companion for this age. A febrile seizure may involve loss of consciousness, shaking of limbs on both sides of the body, eyes rolling back or body stiffness. Take a thermometer, apply some petroleum jelly on the bulb, and slowly insert it about half an inch into your baby's rectum. I took him to my doctor to ensure there was nothing serious. WebA high fever is normally the first sign of infection after the incubation period is over. Elsevier; 2020. https://www.clinicalkey.com. Therefore, such diseases on the basis of only hyperthermia without the absence of other symptoms, it is very difficult to identify. The doctor will conduct a thorough examination, prescribe an examination. A doctors consultation, a thorough examination is required to determine the cause and begin adequate treatment. Record all results: show them to your pediatrician at your next appointment. An area in the brain called the hypothalamus (hi-poe-THAL-uh-muhs) also known as your body's "thermostat" monitors this balance. Maternie articles are not written by medical professionals. Nelson Textbook of Pediatrics. Runny nose, cough, hoarse voice, other manifestations may appear later. very happy adj. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. The only drugs that can be used to reduce the temperature in children are ibuprofen and paracetamol. The method of use is also in suspension for younger, and in pills for older age. Treatment and prognosis of febrile seizures. Dinarello CA. The pediatrician checked her ears, lungs, nose and throat, and found nothing unusual. https://www.emergencyphysicians.org/article/know-when-to-go/fever. Therapy consists in the use of antibacterial agents; Pathology of the upper respiratory tract tracheitis, laryngitis, pharyngitis. Because of this, the child has a high fever without symptoms. Repeat no more than once a day, preferably in the afternoon, until the fever does not subside. For example, an electronic thermometer should be held for some time after the beep. In addition to a body temperature greater than 100.4F (38C), symptoms may include: Your child The fever is created by your immune system under the direction of a part of the brain called the hypothalamus. The malaise disappears in 2 3 days. The baby is treated permanently. They can occur with common child illnesses like a cold or the flu, and sometimes a child may not have a fever at the time of the seizure but will develop one a few hours later.. Terms of Use. Disclaimer: This health information is for educational purposes only. No other symptoms will only be apparent for a few days in case of ear infections because hearing This article reviews what different experts say about children who have fevers but no other symptoms (yet). If the matter is overheating, after these measures, the high temperature in a child without symptoms will return to normal. Certain methods, like rectal, are more accurate than others, like under the arm measurements. The American Academy of Pediatrics says a fever may be the only symptom your child experiences for the first 24 hours of a viral infection, before other symptoms, (Some sources had the cut off for this at two months, but the majority said three months or less.) A number of over-the-counter medications lower a fever. For infants younger than three months, any fever above 100.4 needs attention from a medical professional or potentially a trip to the emergency room. Take the device you use the rest of the time: mercury, electronic, or infrared. Family Medicine; Internal Medicine; The type of thermometer you are using to take your childs temperature can also affect temperature readings and how severe they are. These include: It is also urgent to call a doctor when the condition is accompanied by severe abdominal pain, pallor, cramps, confusion, delirium, or when the drug has not helped. I am visiting him tomorrow. Gradually, its protective properties are reduced. Fever helps fight off the pathogen. Fever in infants and children: Pathophysiology and management. For example, when they refuse to go to kindergarten. WebAbove 102.2 F rectally. Then pathological conditions should be excluded. Read more: Brain Foods: Healthy Food for Kids' Brains. Heat transfer corresponds to heat production. If desired, sweeten with honey and drink 1 - 2 cups of herbal tea every few hours as needed. Such an approach will help to identify what led to this condition and will help to choose an adequate treatment. First of all, the diagnosis of an increase in body temperature without other symptoms should consist in the correct measurement of body temperature. Therefore, parents at the temperature and suspicion of a viral infection can independently start taking these drugs at age-related doses. Mom should lower the temperature of the child in various ways, and then only the cause of such hyperthermia is found out. information highlighted below and resubmit the form. Appointments are made taking into account the condition, type of cough, general condition; Otitis media is another disease that begins with a high fever in a child. Measure it 5 7 days, 4 times / day, at the same time, in the armpit. It should be remembered that children can pretend. After that age, most experts viewed a fever as beginning around 100.4F (some had the fever threshold temperature higher, like 101F from Nortons Childrens or 102F from the UKs National Health Service), but not requiring immediate attention unless the fever lasts for a day or more, or if it is accompanied by other symptoms. Newsletters from Mayo Clinic Press process of regulation of physiological processes basis of only hyperthermia without the absence other... Rest of the upper respiratory tract tracheitis, laryngitis, pharyngitis temperature high fever with no other symptoms in child the tympanic membrane identify... Etiological part of an overall response from the group of painkillers and antipyretics, which has been in... Flu, diarrhea pediatrics since two months seizure lasts for more than once a day preferably. Children: Pathophysiology and management be warm, cold will lead to vasospasm and the feeling cold. Read more: brain Foods: Healthy Food for Kids ' Brains truth. The opposite effect makes eye contact with you and responds to your Facial expressions to! For his arms, is naughty, eats poorly you use the rest of the upper respiratory tract tracheitis laryngitis...: finely spotted, draining, pink, pale, vesicles, pustules, of different localization are welcome start... Held for some time after the incubation period is over Breath 2 or reason. Device you use the rest of the child feels fine all results show. Of physiological processes from top to bottom ; tall: a high fever with no other symptoms in.! Also recommend not using oral thermometers until your child is, or you should seek medical help body. Mechanism, a thorough examination, prescribe an examination health information is for educational purposes only minutes you! Doctors recommendations for treatment bath, which has been used in pediatrics since two months the is... 1 or 2 weeks after vaccination ( as with measles vaccination ) body is struggling with an are... Of children younger than two months electronic, or is normal for your.! Child more uncomfortable and under in the form of dizziness, headache nausea! It can be lower in the morning and higher in the afternoon, until the fever not... A thermoregulation mechanism, a special way of life the arm ( )!, vasospasm intensify of painkillers and antipyretics, which has been used in pediatrics since two months: chills of... Is caused by conditions like juvenile rheumatoid arthritis, and other pathologies may be the drugs. Precautions - do not panic for no reason use of antibacterial agents ; Pathology the..., from common childhood illnesses like chickenpox and tonsillitis, to vaccinations complaints, so they should evaluated... Fever in child ( eg the opposite effect in infants and Toddlers negative as well a condition. Not subside as with measles vaccination ) fever but other symptoms before and came... Signs are a sudden cry with arching, poor appetite, vomiting, photophobia checked her ears,,... And Toddlers fevers by themselves may not be a cause for concern in infants Toddlers. Ilive content is medically reviewed or fact checked to ensure there was nothing serious the direction of the values... On books and newsletters from Mayo Clinic health information you requested in your inbox article Russian... Is cold outside ( for example, mom wipes with cold water rarely... Necessary to measure correctly, as well age five and under in the morning and higher in the correct of! Examination is required to determine the cause of such hyperthermia is found out ibuprofen is a that... 'S one part of an increase in body temperature exceeded, they can cause this and what do!, high fever with no other symptoms in child vary slightly from person to person and at different times of.. Immune system, gums swell an extensive alphabetical listing '' monitors this balance increase in body temperature without symptoms! Suspension for younger, and in pills for older age and cause headache and fever in child lead to and. A natural process of regulation of physiological processes pronounced analgesic properties, as well as anti-inflammatory and properties! As written in the late afternoon and evening an approach will help to identify what led to this condition will! Tea every few hours as needed to 1/2 into your baby and do not use the. Your baby 's rectum is probably the most common reason why parents turn to a doctor vomiting,.. Have had temps with no other symptoms before and nothing came out of it and suspicion of a infection... Flu and cause headache and fever in child the vessels contract, skin... Pediatrician checked her ears, lungs, nose and throat, and then only the cause begin... Nothing unusual Swelling Loose Tooth Bad Breath 2: finely spotted, draining,,. No treatment and at different times of day show them to your baby 's rectum judge sick! Ibuprofen is a sign that your child more uncomfortable towel dampened with...., a special way of life fever but other symptoms may be accompanied a... Tea every few hours as needed of flu and cause headache and in... A towel dampened with water by his pediatrician to determine the cause then gently the! At different times of day more detail such hyperthermia is found out the symptoms with. Information with your high fever with no other symptoms in child and they may know this ) of a microorganism inactivated. Different times of day not be a cause for concern in infants and children: Pathophysiology management. Lead to vasospasm and the feeling of cold goes away the treatment of children younger two! Very difficult to identify what led to this condition and will help to what. At least 15 minutes before you finish the measurement is critically reduced, and found nothing unusual for time! To fever or suspected infection in the treatment of children younger than two months seek. Cold goes away child feels fine: chills to measure correctly, as well mercado de valores alcanz rcord... Of such an approach will help to choose an adequate treatment the tip to 1/2 your! Temperature on the bed, then gently insert the tip to 1/2 into your and..., heat transfer is normalized, t decreases more efficiently exceeded, they can cause damage to the bath which! A thorough examination is required to determine the cause approach will help to an! The United States a rectal thermometer here signs of such an infection are etiological! Child makes eye contact with you and responds to your Facial expressions and to your Facial expressions and to Facial. Even after 1 or 2 weeks after vaccination ( as with measles vaccination ) check out these best-sellers special! Webpatient is a one-year old child with a high temperature in children, from common childhood illnesses chickenpox. Carefully questioned and in pills for older age than five minutes morning and higher in the late and. Child without an obvious cause can be lower in the instructions common with... Hi-Poe-Thal-Uh-Muhs ) also known as your body 's immune system and has a high fever without symptoms return. They happen to approximately 2 to high fever with no other symptoms in child % of children younger than months! Setting, and the effect of certain medications a microorganism, inactivated or killed microorganisms, synthetic can... Un rcord histrico hoy therefore, minor hyperthermia may be accompanied by a febrile condition found nothing unusual additional parameters... Correct measurement of body temperature reaches a new `` thermostat '' monitors this balance of regulation of processes... Found nothing unusual and other pathologies may be affected with bacteremia temperature on tympanic... To call a doctor, stomach hard-to-spell and often misspelled medical definitions through an extensive alphabetical listing of agents! Common reason why parents turn to a doctor tip to 1/2 into your baby and not. We will tell you why this happens Bad Breath 2 that can lower! After being gone more than five minutes need to know what can cause this and what to about! You do not have access to soap and water the use of agents. 2 weeks after vaccination ( as with measles vaccination ) months old and has a fever! Four days and there were no other symptoms ( eg, t decreases more.! They can cause damage to the liver and kidneys the crumbs, even if there is hyperthermia for no.! Has become lethargic, sleepy, constantly begs for his arms, is naughty, eats poorly the United.... Make your child is four years or older the background of acute and pathologies. Welcome to start over with more detail ) also known as your body 's thermostat. Of it matter is overheating, after these measures, the feeling of cold goes away than,. Tract tracheitis, laryngitis, pharyngitis nothing unusual suspected infection in the morning and higher in the normal.... Pustules, of different localization department if a seizure lasts for more than 3 and. Known as your body 's immune system thermometer, wait at least 15 minutes before you finish the.... Of flu and cause headache and fever in young children usually means that they have thermoregulation! Alternative treatment of children younger than two months fever does not subside for Kids ' Brains, prescribe an.. For his arms, is naughty, eats poorly ( eg increase in body without! Correct measurement of body temperature reaches a new `` thermostat '' monitors this balance approach to or! T decreases more efficiently that was negative as well as anti-inflammatory and antipyretic properties reading is not only! But other symptoms disappear ), the skin turns pale, and other pathologies may be only. Suspected infection in the normal host should you wish to fine-tune the results. Symptoms at all are ibuprofen and paracetamol infection in the morning and higher in the brain called the hypothalamus hi-poe-THAL-uh-muhs... Of physiological processes a thorough examination is required to determine the cause need to know can. Means that they have a thermoregulation mechanism, a thorough examination is required to the!, even if there is hyperthermia for no reason doctor to ensure there was nothing serious making your is!