The evolving approach to the young child who has fever and no obvious source

Emerg Med Clin North Am. 2007 Nov;25(4):1087-115, vii. doi: 10.1016/j.emc.2007.07.012.


Fever is a common complaint of young children who seek care in the emergency department. Recent advances, such as universal vaccination with the pneumococcal conjugate vaccine, require the review of traditional approaches to these patients. This article discusses newer strategies in the evaluation and management of the young child with fever, incorporating changes based on the shifting epidemiology of bacterial infection.

Publication types

  • Review

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Anti-Inflammatory Agents, Non-Steroidal / therapeutic use*
  • Bacterial Infections / complications*
  • Bacterial Infections / drug therapy
  • Child, Preschool
  • Emergency Service, Hospital*
  • Fever of Unknown Origin* / diagnosis
  • Fever of Unknown Origin* / drug therapy
  • Fever of Unknown Origin* / etiology
  • Humans
  • Infant
  • Infant, Newborn
  • Pediatrics*
  • Physical Examination / methods*
  • Risk Factors


  • Anti-Bacterial Agents
  • Anti-Inflammatory Agents, Non-Steroidal