FEVER WITHOUT LOCALIZING SIGNS IN CHILDREN

Abstract

The article aimed to analyze fever without localizing signs in children, highlighting the complexity of its management in pediatric practice. The study employed a qualitative bibliographic review, including scientific articles, books, and documents available in databases such as SciELO, PubMed, and Google Scholar. Materials addressing clinical aspects, risk stratification, complementary examinations, and follow-up management in children with fever of unknown origin were selected. Results indicate that most episodes have a benign course, generally associated with viral infections, and that detailed clinical observation is essential to identify subtle signs of serious conditions. Younger children are more vulnerable to bacterial infections, requiring stricter measures, including laboratory tests and hospital monitoring. In older children with good general condition, less invasive strategies and outpatient follow-up are safe, provided constant monitoring is ensured. Clear communication with caregivers and careful prescription of antimicrobials contribute to safe and rational care. It is concluded that effective management of fever without localizing signs requires integration of detailed clinical evaluation, continuous follow-up, and planned strategies, promoting safety and optimization of pediatric care.