Question
My younger brother always has a fever, and he shivers all over when he does. We’ve had him checked at home and in the hospital, and there was a period where he got better, but now he’s started having fevers again. After transferring to Changsha Children’s Hospital, the doctors still can’t find the cause and need to conduct a detailed re-examination. The fever temperature is usually around 39.5 degrees.
Answer
When the body temperature is below 39.0°C, we refer to it as high fever. When shivering occurs with high fever, it may be due to two situations: one is chills with shivering, and the other is generalized convulsive movements accompanied by loss of consciousness, known as high fever convulsions. In the hospital, it’s first necessary to confirm whether it’s chills with shivering or high fever convulsions. If it’s chills with shivering, it’s just a matter of actively investigating the cause of the fever and treating the primary disease promptly; there will be no issues once the fever subsides. If it’s high fever convulsions, it may pose harm to the brain, requiring active anticonvulsive treatment while also treating the cause of the fever.