I may have listened to this Pediatric Audio Digest lecture also. If I have a patient with a febrile illness, I usually recommend no sports/exercise until they have had no fever for 2 days. This is due to the possible association of increased risk of myocarditis in patients exercise during febrile illnesses. I had teenaged patient yesterday who is on the swim team with influenza and high fever. I advised no swimming until no fever for 2 days. Curious what others do. I will try to dig up the transcripts from that particular lecture.
Amy Johnson, M.D.
University of Colorado Schoolbof Medicine
Children's Hospital of Colorado
Sent from my iPhone
On Jan 24, 2013, at 7:45 AM, Bruce Nayowith <[log in to unmask]> wrote:
> Dear List,
> A pediatric colleague of mine just told me about an Audio Digest in which a study of young people (teens or children?) who had died in auto accidents were autopsied. Apparently, up to 15% had evidence of past myocardial scarring?
> The theory proposed was that many of the viral infections that cause myalgias in children may also cause a bit of myocarditis. And that this occurs on a continuum between myalgias to inflammation to hypertrophic cardiomyopathy…
> They recommend no sports for a few days after a febrile illness in children….
> Has anyone else heard this, or did I get my facts mixed up, or ???
> Since I don't do EKGs or troponins on children with myalgias and fever, I don't know how often this happens in my practice. If this is accurate, I am curious about any implications of this in emergency medicine....
> Bruce Nayowith MD
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