[Recurrent fever episodes in a small boy].
BACKGROUND
Controlled studies of tonsillectomy in children with periodic fever syndrome (PFAPA) have not been reported, but some retrospective studies suggest that a substantial number of fever episodes have ceased after tonsillectomy. A boy diagnosed with PFAPA is presented.


METHODS
The boy had a history of recurrent fever every third week from one year of age. A tonsillectomy was performed when he was 3.5 years old. The episodes of fever ceased immediately and have not reoccurred 16 months after the operation.


CONCLUSIONS
We suggest that tonsillectomy should be considered in the most persistent and troublesome cases of PFAPA. Paediatricians and otolaryngologists should collaborate on the diagnosis and treatment.
Øymar
Knut
K
Øre-nese-hals-avdelingen, Kvinne-Barneklinikken, Stavanger Universitetssjukehus, Postboks 8100 Postterminalen, 4068 Stavanger. oykn@sus.no
Røsvik
Alet
A
Fossheim
Jan
J
Kjellerød
Christian
C
El-Saggan
Ahmed
A
D000233:Adenoidectomy; D002675:Child, Preschool; D003937:Diagnosis, Differential; D005334:Fever / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D008297:Male; D010507:Periodicity; D012008:Recurrence; D013577:Syndrome; D014068:Tonsillectomy; D016896:Treatment Outcome