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9.3.11

Children with fever and coma in which diseases?

Coma is one common accident and emergency departments in the clinical, disturbance of consciousness, to external stimulation response weakened or disappeared as a feature.

Cause of coma caused by a lot, which is common in the central nervous system infection of fever and coma, severe central nervous system infection (cerebral malaria, severe sepsis, such as an outbreak of bacillary dysentery, toxic Pneumonitis), high temperature of severe heat stroke, hemorrhagic diseases (leukemia, acute Idiopathic Thrombocytopenic Purpura caused by intracranial hemorrhage). You can identify these diseases according to the following characteristics.

Central nervous system infection, purulent meningitis can have fever and coma, the disease seen in winter and spring. Of Japanese encephalitis in the summer and autumn, infant, children are visible, many have high fever followed by coma. Often meningeal irritation, accompanied by systemic symptoms of infection and intoxication, respiratory and circulatory failure, often associated with other neurological signs. CSF is inflammatory changes.

Severe central nervous system infection, such as cerebral malaria, an outbreak of bacillary dysentery in summer and autumn. Viral pneumonia seen in winter and spring. An outbreak of bacillary dysentery in children, other serious infections of all ages can get sick. Fever and coma is the relationship between a high fever, following a coma, but negative meningeal irritation, can have systemic symptoms of infection and intoxication, respiratory and circulatory failure. Check no special changes of cerebrospinal fluid.

Severe heatstroke in high temperature, often in the pathogenesis of fever or the heat of summer and autumn in the environment, infirm often in children. Fever and coma is the relationship between a high fever, after coma. Negative meningeal irritation, dry skin, sweat-free, has a loop failure. Check no special changes of cerebrospinal fluid.

Bleeding disorders such as intracranial hemorrhage caused by acute leukemia and acute Idiopathic Thrombocytopenic Purpura, can occur in any season. In school-aged children. Relation of fever and coma, both diseases can be a fever caused by the disease, followed by coma. When coma after such heat to more elevated, negative meningeal irritation, often accompanied by anemia, other parts such as bleeding, swelling of lymph nodes, liver and spleen enlargement. CSF is uniform with ischemic changes.


These diseases also may act according to its routine blood and other tests to check, check confirmed pathogens.


Central nervous system infection in the etiology of fever and coma and severe central nervous system infection is common, is very important to make the correct identification of the two. Identification of both its main point is that the former is often accompanied by signs of meningeal irritation and other nervous system. Which is often no signs of meningeal irritation and other nervous system. Further identification for CSF, which is inflammatory changes, cerebrospinal fluid in the back of the latter.

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