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Febrile reactions


can occur differently under different conditions and temperatures can vary within different limits. Depending on this emit:
1. Constant fever: body temperature is usually high (often more than 39 ± С), keeps for several days or weeks with daily fluctuations in ancestors 1 ± С; occurs in acute infectious diseases (typhus, lobar pneumonia, etc.).
2. Laxative fever: significant daily fluctuations in body temperature - from 1 to 2 ± С and 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 period of 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 in it from higher to normal and low numbers: observed in septic conditions.
5. Return 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 again gives way to a decrease in temperature; occurs, for example, with relapsing fever.
6. Wave-like fever: a gradual increase in body temperature from day to day, which reaches a maximum over several days, then, unlike return fever, also gradually decreases and gradually rises again, which looks on the temperature curve as an alternation of waves with a period of several days for each wave. Observed with brucellosis.
7. Incorrect fever: there are no definite patterns in daily fluctuations; occurs most often (with rheumatism, pneumonia, desentery, influenza and many others, including oncological diseases).
8. Perverted fever: morning temperature is above evening: it is noted at tuberculosis, protracted sepsis, viral diseases, disorders of thermoregulation.
The treatment is primarily aimed at the underlying disease. Low-grade and moderate fever are protective, so they should not be reduced. For high and excessive fever, the doctor prescribes antipyretics. It is necessary to monitor the state of consciousness, breathing, pulse rate and its rhythm: if there is a violation of breathing or heart rhythm, you should immediately call emergency assistance. A febrile patient should be watered frequently, changed clothes after abundant sweat, and wiped the skin consistently with wet and dry towels. The room in which there is a febrile patient should be well ventilated and have a flow of fresh air.