PT - JOURNAL ARTICLE AU - El-Radhi, A Sahib AU - Barry, William AU - Patel, Swatee TI - Association of fever and severe clinical course in bronchiolitis AID - 10.1136/adc.81.3.231 DP - 1999 Sep 01 TA - Archives of Disease in Childhood PG - 231--234 VI - 81 IP - 3 4099 - http://adc.bmj.com/content/81/3/231.short 4100 - http://adc.bmj.com/content/81/3/231.full SO - Arch Dis Child1999 Sep 01; 81 AB - Little attention has been given to the relation between fever and the severity of bronchiolitis. Therefore, the relation between fever and the clinical course of 90 infants (59 boys, 31 girls) hospitalised during one season with bronchiolitis was studied prospectively. Fever (defined as a single recording > 38.0°C or two successive recording > 37.8°C) was present in 28 infants. These infants were older (mean age, 5.3 v 4.0 months), had a longer mean hospital stay (4.2 v2.7 days), and a more severe clinical course (71.0%v 29.0%) than those infants without fever. Radiological abnormalities (collapse/consolidation) were found in 60.7% of the febrile group compared with 14.8% of the afebrile infants. These results suggest that monitoring of body temperature is important in bronchiolitis and that fever is likely to be associated with a more severe clinical course and radiological abnormalities.