• Crit Care · Jul 2016

    Review

    The pathophysiological basis and consequences of fever.

    • Edward James Walter, Sameer Hanna-Jumma, Mike Carraretto, and Lui Forni.
    • Department of Intensive Care Medicine, Royal Surrey County Hospital, Egerton Road, Guildford, Surrey, GU2 7XX, UK. ewalter@nhs.net.
    • Crit Care. 2016 Jul 14; 20 (1): 200.

    AbstractThere are numerous causes of a raised core temperature. A fever occurring in sepsis may be associated with a survival benefit. However, this is not the case for non-infective triggers. Where heat generation exceeds heat loss and the core temperature rises above that set by the hypothalamus, a combination of cellular, local, organ-specific, and systemic effects occurs and puts the individual at risk of both short-term and long-term dysfunction which, if severe or sustained, may lead to death. This narrative review is part of a series that will outline the pathophysiology of pyrogenic and non-pyrogenic fever, concentrating primarily on the pathophysiology of non-septic causes.

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