Complete Guide to Fever
Definition:
Fever (also known as pyrexia) is a temporary increase in body temperature, often due to an illness.
A body temperature of >=38 degreesC (100.4 degreesF) is generally considered a fever.
Types of Fever (Based on Duration):
- Acute Fever: Less than 7 days (e.g., viral infection)
- Subacute Fever: 7 to 14 days
- Chronic/Persistent Fever: More than 14 days
- Intermittent Fever: Comes and goes
- Remittent Fever: Fluctuates, but never normal
- Continuous Fever: Stays elevated
- Relapsing Fever: Returns after a normal period
Types of Fever (Based on Cause):
- Infectious Fever: Bacteria, viruses, parasites, fungi
- Inflammatory Fever: Autoimmune (e.g., lupus)
- Drug-Induced Fever: Due to medications
- Neoplastic Fever: Cancer (e.g., lymphoma)
- Heat-related Fever: Heat exhaustion/stroke
- Central Fever: Brain injury related
Common Causes:
Infectious:
- Viral: Flu, COVID-19, Dengue
- Bacterial: Typhoid, UTI, Pneumonia
- Fungal: Histoplasmosis
- Parasitic: Malaria
Non-Infectious:
- Autoimmune, Cancer, Drug reaction, Heatstroke
Symptoms of Fever:
- High temperature
- Chills or sweating
- Fatigue, headache
- Muscle aches, loss of appetite
- Increased heart rate
Diagnosis:
- Thermometer reading
- Blood/urine tests (CBC, cultures)
- Imaging (X-ray)
- Specific tests (malaria, dengue, COVID-19)
Treatment:
General Care:
- Rest, hydration, cool compresses
Medications:
- Paracetamol, Ibuprofen
- Antibiotics (if bacterial), antivirals, antifungals, antimalarials
- Treat underlying cause
Avoid aspirin in children (Reye's syndrome)
When to Seek Help:
- Fever > 40 degreesC (104 degreesF)
- Lasts > 3 days
- Severe symptoms (rash, seizures, breathing issues)