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Hipotermie nocturnă de 13 zile consecutive
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Pediatric Medicine
Question #21020
135 days ago
305

Hipotermie nocturnă de 13 zile consecutive - #21020

Evelyn

Bună ziua! Imi cer scuze pentru deranj, vă scriu pentru a vă cere, dacă este posibil, o opinie orientativă legată de fetița mea, în vârstă de 2 ani și 9 luni. După o viroză respiratorie cu febră (2 zile), au apărut episoade de hipotermie nocturnă, prezente de 13 nopți consecutiv. Scăderea temperaturii apare doar noaptea când doarme. Ziua temperatura este normala. Ea este activa, mănâncă, se joacă , dar seara ajunge la 35 și probabil ar scădea și mai mult dacă nu am interveni cu sticle cu apă caldă lângă ea. Am văzut deja 3 pediatrii. Nimeni nu știe ce are. Analizele uzuale sunt bune, Analizele endocrinologice sunt în normale, fără o cauză clară până acum. Acth-15.3 Atpo-<<10.0 Ft4- 1.24 Tsh- 1.90 Cortisol- 125 Imunologul spune ca problema nu tine de imunologie. De aceea, aș dori să vă întreb dacă ați întâlnit cazuri similare și dacă, din descriere, considerați că ar putea exista o cauză neurologică sau necesitatea unei evaluări neurologice. Vă mulțumesc pentru timpul acordat și pentru orice îndrumare.

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Doctors' responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
135 days ago
5

Hello dear As per history seems post viral thermoregulation As per my clinical experience There is no direct cure for it Except Self support by continuous monitoring of temperature Warm clothing application Socks to increase temperature Mild exercise Hopefully improvement will occur Regards

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În cazul pe care l-ai descris, apariția episoadelor de hipotermie nocturnă după o viroză respiratorie la o vârstă atât de fragedă este neobișnuită, dar nu imposibilă. E bine că analizele uzuale și endocrinologice au ieșit normale, indicând că, până acum, principalele funcții fiziologice nu par afectate. Majoritatea episoadelor de hipotermie la copii sunt tranzitorii și pot fi legate de ajustari ale mecanismelor de termoreglare pe fondul unei răceli recente. Având trei evaluari pediatrice deja, este notabil că nicio cauză evidentă nu a răsărit încă.

Legat de consultul neurologic, deși nu am suficiente dovezi care să sugereze o problemă neurologică clară la acest moment, având în vedere că aceste episoade persista timp 13 nopți la rând, nu ar strica să ceri o opinie unui neurolog pediatru. Factori care să indcue consultul neurologic includ probleme de termoreglare persistentă, dar și alte simptome neurologice, cum ar fi modificări ale comportamentului, slăbiciune musculară sau altele. Chiar și așa, este probabil ca mulți copii să revină la termoreglare normală pe măsură ce sistemul lor imunitar se stabilizează.

În acest timp, asigură-te că este bine hidratată, și că temperatura camerei este confortabilă. De asemenea, menținerea unui jurnal de temperatură pe parcursul mai multor zile poate oferi indicii valoroase pentru medicul tău. Dacă apare ceva nou în starea ei, cum ar fi letargie accentuată sau schimbări de comportament, îți recomand să consulți un medic cât mai repede.

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