Differential Diagnosis for Fever after Child Fall
- Single most likely diagnosis
- Viral infection (e.g., common cold, flu): This is the most likely diagnosis as children are prone to viral infections, and a fall may not be directly related to the fever. The fever could be coincidental or a result of a pre-existing infection.
- Other Likely diagnoses
- Bacterial infection (e.g., pneumonia, urinary tract infection): Children who fall may be more susceptible to infections due to potential trauma or stress on the body. Bacterial infections can cause fever and should be considered.
- Trauma-related infection (e.g., osteomyelitis, septic arthritis): If the child suffered an open wound or fracture during the fall, there is a risk of infection. These infections can cause fever and should be evaluated.
- Concussion or head trauma: A fall can result in head trauma, which may cause fever due to the body's response to injury.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
- Meningitis: Although less likely, meningitis is a life-threatening condition that can cause fever and is associated with head trauma. It is crucial to consider this diagnosis to avoid missing a potentially fatal condition.
- Sepsis: Sepsis is a severe and potentially life-threatening condition that can cause fever. It may be related to trauma or an underlying infection.
- Spinal epidural abscess: This is a rare but potentially deadly condition that can cause fever and is associated with trauma or infection.
- Rare diagnoses
- Subarachnoid hemorrhage: Although rare in children, a subarachnoid hemorrhage can cause fever and is associated with head trauma.
- Osteonecrosis: This is a rare condition that can occur after trauma and may cause fever.
- Child abuse: Unfortunately, child abuse is a possibility and should be considered in cases of unexplained trauma or inconsistent histories. Fever may be present due to associated injuries or infections.