The therapy of SIRS is complex. In addition to “Drug Therapy,” which is one of the mainstays, “Causal Therapy” and “Supportive Therapy” (for hemodynamic stabilization, see “Drug Therapy”) are of great importance. Causal therapy Surgical therapy if necessary. focal therapy: The basic prerequisite for successful therapy is surgical therapy of the underlying disease or, if … Systemic Inflammatory Response Syndrome (SIRS): Therapy
Scarlet fever (synonyms: scarlatina (scarlet fever); scarlet fever; scarlet angina; streptococcal angina; ICD-10 A38: scarlet fever) is an infectious disease of the throat caused by the bacterium Streptococcus pyogenes (serogroup A; group A β-hemolytic streptococci; GAS (group A streptococci)). In addition to this infectious disease, the bacterium also causes diseases such as erysipelas (erysipelas) or … Scarlet Fever (Scarlatina)
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
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
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
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
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
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
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
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
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
Tuberculosis (TB; Tbc) – colloquially called consumption – (synonyms: Koch’s disease; Tb; Tbc; tuberculosis; ICD-10 A15.-: Tuberculosis of the respiratory organs, bacteriologically, molecularly or histologically confirmed) is an infectious disease caused by the pathogens of the Mycobacterium tuberculosis complex. The Mycobacterium tuberculosis complex includes Mycobacterium tuberculosis, M. africanum, M. bovis, M. microti, M. canetti, and … Tuberculosis: Symptoms, Causes, Treatment
