Is it dangerous for a 5-year-old child to have a fever above 39°C for an entire night?

Apr 06, 2023 Source: Cainiu Health
Dr. Ma Yan
Introduction
39 degrees here refers to 39°C, and fever means elevated body temperature. Whether a 5-year-old child having a fever above 39°C overnight is cause for concern can be determined by factors such as whether the brain has been affected. If the fever is caused by an upper respiratory tract infection and there is no impact on brain development, with the child remaining alert and in good spirits, it is generally not serious. However, if bacteria or viruses have crossed the blood-brain barrier and caused a central nervous system infection, it is usually serious.

  Here, 39 degrees refers to 39°C; fever generally means elevated body temperature. Whether a 5-year-old child having a fever above 39°C overnight is cause for concern usually depends on factors such as whether there is any impact on the brain.

  1. Not serious

  A 5-year-old child's body is still developing and the thermoregulatory center is not yet fully matured. If a fever above 39°C in a 5-year-old lasts only one night and is caused by an upper respiratory tract infection, with no adverse effects on brain development, no other physical discomfort, good mental status, and appropriate treatment is promptly initiated, it is generally not serious.

  2. Serious

  A fever of 39°C is typically considered high-grade fever. If caused by bacterial or viral infections where pathogens cross the blood-brain barrier and infect the central nervous system, leading to encephalitis, this situation is usually serious and may be associated with neurological diseases accompanied by fever and other symptoms.

  It is recommended that patients seek medical attention promptly for accurate diagnosis and follow medical advice for appropriate treatment.