RESUMO
Factitious fever is a heterogeneous pathology based on the simulation, obtained by the patient himself (self-induced fever) or by fraudulent state (feigned fever). Diagnosis must be suspected according to several criteria: long-lasting fever, "belle indifférence" of children and their family, normal clinical and haematological data. The authors report, in the light of the personal experience, two cases of factitious fever.
Assuntos
Transtornos Autoinduzidos/diagnóstico , Febre/diagnóstico , Adolescente , Transtornos Autoinduzidos/psicologia , Feminino , Febre/psicologia , Humanos , MasculinoRESUMO
The results of a randomized double blind comparative clinical trial are described. 201 children, 101 males and 100 females, average age 3.11 +/- 1.1 (range 15 months to 14 years) received 3 different types of triple vaccine against measles, mumps and rubella. The vaccine containing the strains Edmonston-Zagreb, Rubini and Wistar Ra 27/3 was well tolerated both for the number of side-effects and for the number and the level of the fever attacks, that resulted the most frequent symptom, especially in the children from 2 to 5 years. The differences between side effects were highly significant. In accordance with the obtained results and considering the data of other studies, the Authors conclude that the principal reason of this tolerance is due to more attenuated strain against measles.