Tuesday, October 16, 2012

FEVER

The normal active human has a  temperature of about 37°C. The word  “about”  is used advisedly, because  the
temperature is not an absolute value.  A woman’s temperature rises by up to half a degree after she ovulates in the
middle of her cycle.
Many people have  temperatures up  to a degree below  the average with no adverse effects.
The body  temperature will also vary slightly depending on  the  time of day,  food  intake and  the climate. All  these
factors must be taken into account when the notion of a normal temperature is considered. 
A  fever (pyrexia)  is a sign  that  the body  is  fighting an  infection,  inflammation, or  invasion by cancer or  foreign
tissue.  A  fever  may  be  beneficial  to  the  patient,  because  many  germs  (viruses  particularly)  are  temperature
sensitive, and are destroyed by  the  fever. A  fever over 40°C  though should be  reduced by using paracetamol or
aspirin and cool baths.
An  infection  by  a  bacteria  (eg.  pneumonia,  tuberculosis,  tonsillitis,  ear  infection,  urinary  infection),  virus  (eg.
common cold, influenza, hepatitis, chickenpox, AIDS) or fungus (eg. serious fungal infections of lungs) is by far the
most common cause of a fever. A viral infection usually causes a fever that comes and goes during the day, often
with a  sudden onset  in  the morning and evening,  followed  by  a  slow  decline  to  normal  over  the  next  couple  of
hours. Bacterial infections tend to cause a constant fever, usually over 38.5°C. This is because bacteria reproduce
like all animals, at random times, while viruses tend to reproduce all at once, so the body is subjected to a sudden
doubling of the number of viruses, which stimulates the brain to increase the body temperature.
Infections  can  occur  in  any  tissue  or  organ  of  the  body,  and  other  symptoms  will  depend  upon  where  the
infection is sited. An untreated bacterial infection will result in pus formation, and an abscess full of pus may form at
any site of  infection  (eg. under  the skin,  in  the  lung, at  the  root of a  tooth,  in  the bowel) and continue  to cause a
fever.
Remember that the absence of a fever does not mean the absence of infection, particularly in older people, as
many elderly people do not develop a fever with infections.
Rarely, medications can cause a fever as a side effect.

No comments:

Post a Comment