Emergency medicine clinics of North America
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Fever in ill travelers returning home from developing nations is common. Most travelers present with undifferentiated febrile syndromes. ⋯ Empiric treatment based on the clinical presentation is required in many cases, because acquisition of confirmatory laboratory data is often delayed. The focus of this article is travel-related illness that falls within the spectrum of the acute febrile syndrome.
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Postprocedure fevers vary in the timing of their occurrence, duration, and severity. Such fevers do not all have an infectious cause, but they all require thorough investigation to rule out life-threatening conditions. This article summarizes the principles of diagnosis and management of postprocedure fevers for the emergency care provider.
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Emerg. Med. Clin. North Am. · Nov 2013
ReviewHyperthermia caused by drug interactions and adverse reactions.
Drug-induced hyperthermic syndromes are similar to heat illness. The purpose of this article is to discuss the drugs associated with the development of these syndromes and to review their pathophysiology, clinical manifestations, and management.
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Emerg. Med. Clin. North Am. · Nov 2013
ReviewFever and signs of shock: the essential dangerous Fever.
A common cause of fever with signs of shock is sepsis. Sepsis describes the spectrum of illness caused by severe infection. The incidence of sepsis is increasing and mortality can be high. ⋯ Early treatment includes empirical antibiotics and resuscitation. The diverse physiology present in sepsis can make the resuscitation complex; many different types of hemodynamic monitoring may be necessary. Even with this complexity, an organized approach can improve patient outcomes.