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Archivos de Pediatría del Uruguay

versión impresa ISSN 0004-0584versión On-line ISSN 1688-1249


NOTEJANE, Martín; BADIA, Federica; DALL’ORSO, Patricia  y  PREGO, Javier. Febrile hives in the Emergency Unit: Is it always a benign condition?. Arch. Pediatr. Urug. [online]. 2016, vol.87, n.2, pp.131-136. ISSN 0004-0584.

Introduction: hives are frequent cause of consultation in pediatric emergency. It should be considered a clinical sign and not a disease in itself. It can be caused by food, physical agents, drugs, toxins, and insect bites. Infectious diseases in general are also common viral cause of urticaria. Occasionally, it may correspond to a bacterial disease, with different degrees of severity. Objective: to present two cases of febrile hives seen in the Pediatric Emergency Department at the Pereira Rossel Hospital Center, resulting from a bacterial infectious disease. Discussion: one of the most important objectives in the initial assistance is to determine the degree of urgency of care, by applying a systematic categorization system of “triage”, which allows to establish whether it is life-threatening and needs immediate treatment, regardless of the cause it causes. Both clinical cases had a bacterial infection that initially manifested itself as a febrile urticaria. In the first case, the diagnosis of urinary tract infection in a patient not immediately life-threatening was confirmed. In the second case, hives occurred in patients with severe systemic disease which later focused as a hip osteoarthritis. Conclusion: hives in children is usually considered a benign disease. Sometimes it may be the initial manifestation of a serious infectious disease. Severe infections should be considered when evaluating a child who presents hives, mainly if accompanied by fever.


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