Fever in a hospitalized patient: Difference between revisions
From IDWiki
(Imported from text file) |
m (Aidan moved page Fever in the hospitalized patient to Fever in a hospitalized patient without leaving a redirect) |
||
| (6 intermediate revisions by the same user not shown) | |||
| Line 1: | Line 1: | ||
==Background== |
|||
= Fever in the hospitalized patient = |
|||
== |
===Definition=== |
||
* |
*Core temperature >38.3ºC |
||
== |
===Pathophysiology=== |
||
* |
*Pyrogenic fever is caused by endogenous (IL-1, IL-6, TNF-alpha) or exogenous (from a microbe) pyrogen compounds |
||
** |
**Either direct action or cytokine production that stimulates the organum vasculosum of the lamina terminalis (OVLT) in the hypothalamus |
||
* |
*[[Neurogenic fever]] |
||
* |
*Decoupling of oxidative phosphorylation, as in [[drug-induced fever]] |
||
== |
==Differential Diagnosis== |
||
* |
*Infectious |
||
**[[Sinusitis]] |
|||
* |
*Non-infectious |
||
** |
**Inflammatory diseases |
||
** |
**Drug-induced, including ß-lactam antibiotics, sulphonamides, antipsychotics, propofol |
||
** |
**Traumatic brain injury or ischemic brain injury |
||
** |
**Endocrine fever |
||
[[Category:Hospital-acquired infections]] |
|||
 |
|||
[[Category:Fever syndromes]] |
|||
Latest revision as of 02:40, 23 November 2023
Background
Definition
- Core temperature >38.3ºC
Pathophysiology
- Pyrogenic fever is caused by endogenous (IL-1, IL-6, TNF-alpha) or exogenous (from a microbe) pyrogen compounds
- Either direct action or cytokine production that stimulates the organum vasculosum of the lamina terminalis (OVLT) in the hypothalamus
- Neurogenic fever
- Decoupling of oxidative phosphorylation, as in drug-induced fever
Differential Diagnosis
- Infectious
- Non-infectious
- Inflammatory diseases
- Drug-induced, including ß-lactam antibiotics, sulphonamides, antipsychotics, propofol
- Traumatic brain injury or ischemic brain injury
- Endocrine fever
