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Febrile reactions


can occur differently under different conditions and the temperature can fluctuate within different limits. Depending on this, there are:
1. Constant fever: body temperature is usually high (often more than 39 ± C), keeps for several days or weeks with daily fluctuations in the ancestors of 1 ± C; It occurs in acute infectious diseases (typhus, croupous pneumonia, etc.).
2. Laxing fever: significant daily fluctuations in body temperature - from 1 to 2 ± C or more; occurs with purulent diseases.
3. Intermittent fever: a sharp rise in body temperature to 39-40 ± C and above with its decline in a short time to normal or even lowered and with the repetition of such rises in 1-2-3 days; characteristic of malaria.
4. Exhausting fever: significant daily fluctuations in body temperature above 3 ± C (can be at intervals of several hours) with a sharp drop from higher to normal and lower numbers: observed in septic conditions.
5. Relapsing fever: an increase in body temperature immediately to 39-40 ± C and above, which remains high for several days, then decreases to normal, lowered, and after a few days the fever returns and is again replaced by a decrease in temperature; occurs, for example, in relapsing fever.
6. Wave-like fever: a gradual increase in body temperature every day, which reaches a maximum in a few days, then, in contrast to relapsing fever, it also gradually decreases and again gradually rises, which looks like a wave alternation with a period of several days for each wave. It is observed with brucellosis.
7. Irregular fever: does not have certain patterns in daily fluctuations; occurs most often (with rheumatism, pneumonia, desentery, flu and many others, including cancer).
8. Perverted fever: morning temperature is higher than evening temperature: it is noted in case of tuberculosis, prolonged sepsis, viral diseases, and heat regulation disorders.
Treatment is primarily aimed at the underlying disease. Subfebrile and moderate fever are protective in nature, therefore, they should not be reduced. With high and excessive fever, the doctor prescribes antipyretics. It is necessary to monitor the state of consciousness, breathing, pulse rate and its rhythm: if breathing or heart rhythm is disturbed, emergency care should be called immediately. A febrile patient often needs to be drunk, changed clothes after a heavy sweat, and wipe the skin successively with wet and dry towels. The room in which the febrile patient is located should be well ventilated and have an influx of fresh air.