December 1995

Fever in Pediatric Practice

Author Affiliations

Department of Pediatrics University of South Florida Tampa, FL 33606


by A. Shahib El-Radhi and James E. Carroll, 258 pp, $49.95, ISBN 0-632-03513-7, Cambridge, Mass, Blackwell Scientific Publications Inc, 1994.

Arch Pediatr Adolesc Med. 1995;149(12):1403. doi:10.1001/archpedi.1995.02170250109024

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No symptom causes more concern in parents than fever. It prompts innumerable telephone calls and office visits and interventions ranging from intensive procedures and radiological studies to antibiotics. It is appropriate that a book dedicated to the "science" of temperature be written from a pediatric standpoint. Fever in Pediatric Practice covers a broad range of aspects of temperature regulation and dysregulation. The history of fever, from its place in the Bible and ancient civilizations, forms a framework to discuss some of the myths about fever, both old and new. A theme throughout the book is that elevated temperature in response to endogenous pyrogens is an adaptive process that is helpful, not harmful.

Most aspects of temperature regulation are discussed in some depth, including hyperthermic diseases such as heat stroke and various causes of hypothermia and its treatment. Useful topics include the pathogenesis of fever, with up-to-date information on temperature regulation,

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