Fever

Fever: Complications

The following are the most important diseases or complications that can be co-morbid with fever: Respiratory system (J00-J99) Aggravation of existing conditions such as pulmonary insufficiency (limitation of lung function). Endocrine, nutritional, and metabolic diseases (E00-E90). Oxygen supply/consumption mismatch (“metabolic stress“). Cardiovascular System (I00-I99). Arrhythmias (cardiac arrhythmias). Amplification of existing diseases such as heart failure … Fever: Complications

Fever: Classification

It is well known that in an acute febrile reaction, human body temperature (especially in children) rises rapidly to values between 40 to 41°C, but almost never reaches values above about 41°C. This is independent of the cause of the fever or the location of the temperature measurement. The following is an illustration of the … Fever: Classification

Fever: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body temperature, body weight, body height; furthermore: Inspection (viewing). Skin, mucous membranes, and sclerae (white part of eye) [sweating (hot, severely red skin, glazed eyes in high fever); exanthema (rash)?, abscess (encapsulated collection of pus)?] … Fever: Examination

Fever: Lab Test

Laboratory parameters of the 1st order – obligatory laboratory tests. Small blood count* Differential blood count* – to assess leukocyte (white blood cell) composition [neutrophil granulocytes: > 4,090/µl → indicating bacterial infection]. Inflammatory parameters – CRP (C-reactive protein) or PCT (procalcitonin) if sepsis is suspected or ESR (erythrocyte sedimentation rate) [PCT ≥ 1.71 ng/ml → … Fever: Lab Test

Fever: Drug Therapy

Therapeutic target Lowering body temperature Therapy recommendations Fever in adults: Antipyretics (antipyretic drugs) from 39.0 °C and severe impairment. Fever in children: Antipyretics (antipyretic drugs, preferably acetaminophen) if: Very high fever (≥ 40 °C). Severe impairment These only very little liquid to take (per °C is to be expected with a liquid loss 10-15%) These … Fever: Drug Therapy

Fever: Diagnostic Tests

Obligatory medical device diagnostics Temperature measurement with a clinical thermometer – most accurate is rectal measurement, i.e., in the anus (measurement time: 5 min.) (gold standard); measurement can also be oral, i.e., under the tongue, axillary, i.e., under the armpit (measurement time: 10 min.), or auricular, i.e., in the ear (measurement error possible due to … Fever: Diagnostic Tests

Fever: Micronutrient Therapy

A risk group indicates the possibility that the disease may be associated with the risk of vital substance deficiency. The complaint of fever indicates a vital nutrient deficiency for: Vitamin C The above vital substance recommendations were created with the help of medical experts. All statements are supported by scientific studies with high levels of … Fever: Micronutrient Therapy

Fever: Symptoms, Complaints, Signs

The following symptoms and complaints may occur along with fever: Leading symptoms Vasoconstriction (vasoconstriction) in the hands and feet. Freezing Muscle tremor Sweating (hot, very red skin, glassy eyes in high fever). Vasodilation (vasodilatation) Associated symptoms General feeling of illness Anorexia (loss of appetite) Headache* Pain in the limbs* Febrile convulsions especially in infants and … Fever: Symptoms, Complaints, Signs

Fever: Therapy

In case of prolonged fever (> 4 days), very high fever (> 39 °C) or severe feeling of illness, a doctor must be consulted! Babies with fever always belong to the pediatrician. Older children should be presented to a physician in the following cases: The fever rises above 38.5 °C. The fever persists for more … Fever: Therapy

Fever: Medical History

Medical history (history of illness) represents an important component in the diagnosis of fever. Family history What is the general health of your family members? Infectious diseases in the patient’s environment? Ethnicity (belonging to an ethnic group)? Social history What is your profession? What hobbies (eg hunters) do you have? When and where were you … Fever: Medical History

Fever: Or something else? Differential Diagnosis

Fever Respiratory system (J00-J99) Bronchitis* – inflammation of the bronchial mucosa. Pharyngitis* (inflammation of the throat) Pneumonia* (pneumonia) Sinusitis (sinusitis) Tonsillitis* (tonsillitis) or tonsillopharyngitis* (pharyngitis and / or tonsillitis). Tracheitis* (inflammation of the trachea) Blood, blood-forming organs – immune system (D50-D90). Congenital immunodeficiencies (see below immunodeficiency/immune deficiency). Febrile neutropenia – oral temperature is above 38.3°C … Fever: Or something else? Differential Diagnosis