Fever of central
origin in ictus
NOTE: Translated
using software of
translation of
Spanish to English
Summary.
Introduction.
Fever appear in a fourth of stroke approximately. Its origin (the most of
them are infectious) are unknown in a minority of the cases. Some
hypothesis indicate that central mechanisms like hypothalamic lesion or
segregation of endogenous pyrogens may be implicate. Objective. To value
the frequency of
central fever during
the stroke, and to
appoint if there are
clinical differences
between infectious
and central origin
of the fever.
Patients and
methods. 103
patients were
evaluated
prospectively, if
someone had fever,
an investigation
about an infectious
origin were made. We
divided the fever
patients into two
groups: ‘infectious
fever’ and ‘fever
without infection
documented’ and we
analyzed the
clinical differences
between them.
Results. 23% of the
patients had fever,
33% without
infection
documented. This
last group had
earlier the fever.
They had more
clinical severity
and more mortality.
The fever was
highest and it
wasn’t response to
the antipyretic
treatment also. The
others parameters
didn’t show any
difference between
the two groups.
Conclusions. The
patients with fever
without infection
documented (probably
fever of central
origin) had a
defined model with
his own
characteristics, in
a different way of
infectious fever.
Autor:
Ecuadorian
magazine of neurology
