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Fever - Wikipedia
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<span class="vector-toc-numb">2</span> <span>Diagnosis</span> </div> </a> <button aria-controls="toc-Diagnosis-sublist" class="cdx-button cdx-button--weight-quiet cdx-button--icon-only vector-toc-toggle"> <span class="vector-icon mw-ui-icon-wikimedia-expand"></span> <span>Toggle Diagnosis subsection</span> </button> <ul id="toc-Diagnosis-sublist" class="vector-toc-list"> <li id="toc-Hyperthermia" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Hyperthermia"> <div class="vector-toc-text"> <span class="vector-toc-numb">2.1</span> <span>Hyperthermia</span> </div> </a> <ul id="toc-Hyperthermia-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> <li id="toc-Types" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Types"> <div class="vector-toc-text"> <span class="vector-toc-numb">3</span> <span>Types</span> </div> </a> <button aria-controls="toc-Types-sublist" class="cdx-button cdx-button--weight-quiet cdx-button--icon-only vector-toc-toggle"> <span class="vector-icon mw-ui-icon-wikimedia-expand"></span> <span>Toggle Types subsection</span> </button> <ul id="toc-Types-sublist" class="vector-toc-list"> <li id="toc-Hyperpyrexia" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Hyperpyrexia"> <div class="vector-toc-text"> <span class="vector-toc-numb">3.1</span> <span>Hyperpyrexia</span> </div> </a> <ul id="toc-Hyperpyrexia-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> <li id="toc-Differential_diagnosis" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Differential_diagnosis"> <div class="vector-toc-text"> <span class="vector-toc-numb">4</span> <span>Differential diagnosis</span> </div> </a> <ul id="toc-Differential_diagnosis-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Function" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Function"> <div class="vector-toc-text"> <span class="vector-toc-numb">5</span> <span>Function</span> </div> </a> <button aria-controls="toc-Function-sublist" class="cdx-button cdx-button--weight-quiet cdx-button--icon-only vector-toc-toggle"> <span class="vector-icon mw-ui-icon-wikimedia-expand"></span> <span>Toggle Function subsection</span> </button> <ul id="toc-Function-sublist" class="vector-toc-list"> <li id="toc-Immune_function" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Immune_function"> <div class="vector-toc-text"> <span class="vector-toc-numb">5.1</span> <span>Immune function</span> </div> </a> <ul id="toc-Immune_function-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Advantages_and_disadvantages" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Advantages_and_disadvantages"> <div class="vector-toc-text"> <span class="vector-toc-numb">5.2</span> <span>Advantages and disadvantages</span> </div> </a> <ul id="toc-Advantages_and_disadvantages-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> <li id="toc-Pathophysiology_of_fever_induction" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Pathophysiology_of_fever_induction"> <div class="vector-toc-text"> <span class="vector-toc-numb">6</span> <span>Pathophysiology of fever induction</span> </div> </a> <button aria-controls="toc-Pathophysiology_of_fever_induction-sublist" class="cdx-button cdx-button--weight-quiet cdx-button--icon-only vector-toc-toggle"> <span class="vector-icon mw-ui-icon-wikimedia-expand"></span> <span>Toggle Pathophysiology of fever induction subsection</span> </button> <ul id="toc-Pathophysiology_of_fever_induction-sublist" class="vector-toc-list"> <li id="toc-Hypothalamus" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Hypothalamus"> <div class="vector-toc-text"> <span class="vector-toc-numb">6.1</span> <span>Hypothalamus</span> </div> </a> <ul id="toc-Hypothalamus-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Pyrogens" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Pyrogens"> <div class="vector-toc-text"> <span class="vector-toc-numb">6.2</span> <span>Pyrogens</span> </div> </a> <ul id="toc-Pyrogens-sublist" class="vector-toc-list"> <li id="toc-Endogenous" class="vector-toc-list-item vector-toc-level-3"> <a class="vector-toc-link" href="#Endogenous"> <div class="vector-toc-text"> <span class="vector-toc-numb">6.2.1</span> <span>Endogenous</span> </div> </a> <ul id="toc-Endogenous-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Exogenous" class="vector-toc-list-item vector-toc-level-3"> <a class="vector-toc-link" href="#Exogenous"> <div class="vector-toc-text"> <span class="vector-toc-numb">6.2.2</span> <span>Exogenous</span> </div> </a> <ul id="toc-Exogenous-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> <li id="toc-PGE2_release" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#PGE2_release"> <div class="vector-toc-text"> <span class="vector-toc-numb">6.3</span> <span>PGE2 release</span> </div> </a> <ul id="toc-PGE2_release-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> <li id="toc-Management" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Management"> <div class="vector-toc-text"> <span class="vector-toc-numb">7</span> <span>Management</span> </div> </a> <button aria-controls="toc-Management-sublist" class="cdx-button cdx-button--weight-quiet cdx-button--icon-only vector-toc-toggle"> <span class="vector-icon mw-ui-icon-wikimedia-expand"></span> <span>Toggle Management subsection</span> </button> <ul id="toc-Management-sublist" class="vector-toc-list"> <li id="toc-Conservative_measures" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Conservative_measures"> <div class="vector-toc-text"> <span class="vector-toc-numb">7.1</span> <span>Conservative measures</span> </div> </a> <ul id="toc-Conservative_measures-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Medications" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Medications"> <div class="vector-toc-text"> <span class="vector-toc-numb">7.2</span> <span>Medications</span> </div> </a> <ul id="toc-Medications-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> <li id="toc-Epidemiology" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Epidemiology"> <div class="vector-toc-text"> <span class="vector-toc-numb">8</span> <span>Epidemiology</span> </div> </a> <ul id="toc-Epidemiology-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-History" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#History"> <div class="vector-toc-text"> <span class="vector-toc-numb">9</span> <span>History</span> </div> </a> <ul id="toc-History-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Society_and_culture" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Society_and_culture"> <div class="vector-toc-text"> <span class="vector-toc-numb">10</span> <span>Society and culture</span> </div> </a> <button aria-controls="toc-Society_and_culture-sublist" class="cdx-button cdx-button--weight-quiet cdx-button--icon-only vector-toc-toggle"> <span class="vector-icon mw-ui-icon-wikimedia-expand"></span> <span>Toggle Society and culture subsection</span> </button> <ul id="toc-Society_and_culture-sublist" class="vector-toc-list"> <li id="toc-Mythology" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Mythology"> <div class="vector-toc-text"> <span class="vector-toc-numb">10.1</span> <span>Mythology</span> </div> </a> <ul id="toc-Mythology-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Pediatrics" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Pediatrics"> <div class="vector-toc-text"> <span class="vector-toc-numb">10.2</span> <span>Pediatrics</span> </div> </a> <ul id="toc-Pediatrics-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> <li id="toc-Other_species" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Other_species"> <div class="vector-toc-text"> <span class="vector-toc-numb">11</span> <span>Other species</span> </div> </a> <ul id="toc-Other_species-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-References" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#References"> <div class="vector-toc-text"> <span class="vector-toc-numb">12</span> <span>References</span> </div> </a> <ul id="toc-References-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Further_reading" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Further_reading"> <div class="vector-toc-text"> <span class="vector-toc-numb">13</span> <span>Further reading</span> </div> </a> <ul id="toc-Further_reading-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-External_links" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#External_links"> <div class="vector-toc-text"> <span class="vector-toc-numb">14</span> <span>External links</span> </div> </a> <ul id="toc-External_links-sublist" class="vector-toc-list"> </ul> </li> </ul> </div> </div> </nav> </div> </div> <div class="mw-content-container"> <main id="content" class="mw-body"> <header class="mw-body-header vector-page-titlebar"> <nav aria-label="Contents" class="vector-toc-landmark"> <div id="vector-page-titlebar-toc" class="vector-dropdown vector-page-titlebar-toc vector-button-flush-left" > <input type="checkbox" id="vector-page-titlebar-toc-checkbox" role="button" aria-haspopup="true" data-event-name="ui.dropdown-vector-page-titlebar-toc" class="vector-dropdown-checkbox " aria-label="Toggle the table of contents" > <label id="vector-page-titlebar-toc-label" for="vector-page-titlebar-toc-checkbox" class="vector-dropdown-label cdx-button cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--weight-quiet cdx-button--icon-only " aria-hidden="true" ><span class="vector-icon mw-ui-icon-listBullet mw-ui-icon-wikimedia-listBullet"></span> <span class="vector-dropdown-label-text">Toggle the table of contents</span> </label> <div class="vector-dropdown-content"> <div id="vector-page-titlebar-toc-unpinned-container" class="vector-unpinned-container"> </div> </div> </div> </nav> <h1 id="firstHeading" class="firstHeading mw-first-heading"><span class="mw-page-title-main">Fever</span></h1> <div id="p-lang-btn" class="vector-dropdown mw-portlet mw-portlet-lang" > <input type="checkbox" id="p-lang-btn-checkbox" role="button" aria-haspopup="true" data-event-name="ui.dropdown-p-lang-btn" class="vector-dropdown-checkbox mw-interlanguage-selector" aria-label="Go to an article in another language. Available in 119 languages" > <label id="p-lang-btn-label" for="p-lang-btn-checkbox" class="vector-dropdown-label cdx-button cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--weight-quiet cdx-button--action-progressive mw-portlet-lang-heading-119" aria-hidden="true" ><span class="vector-icon mw-ui-icon-language-progressive mw-ui-icon-wikimedia-language-progressive"></span> <span class="vector-dropdown-label-text">119 languages</span> </label> <div class="vector-dropdown-content"> <div class="vector-menu-content"> <ul class="vector-menu-content-list"> <li class="interlanguage-link interwiki-af mw-list-item"><a href="https://af.wikipedia.org/wiki/Koors" title="Koors – Afrikaans" lang="af" hreflang="af" data-title="Koors" data-language-autonym="Afrikaans" data-language-local-name="Afrikaans" class="interlanguage-link-target"><span>Afrikaans</span></a></li><li class="interlanguage-link interwiki-am mw-list-item"><a href="https://am.wikipedia.org/wiki/%E1%89%B5%E1%8A%A9%E1%88%B3%E1%89%B5" title="ትኩሳት – Amharic" lang="am" hreflang="am" data-title="ትኩሳት" data-language-autonym="አማርኛ" data-language-local-name="Amharic" class="interlanguage-link-target"><span>አማርኛ</span></a></li><li class="interlanguage-link interwiki-ar mw-list-item"><a href="https://ar.wikipedia.org/wiki/%D8%AD%D9%85%D9%89" title="حمى – Arabic" lang="ar" hreflang="ar" data-title="حمى" data-language-autonym="العربية" data-language-local-name="Arabic" class="interlanguage-link-target"><span>العربية</span></a></li><li class="interlanguage-link interwiki-arc mw-list-item"><a href="https://arc.wikipedia.org/wiki/%DC%90%DC%AB%DC%AC%DC%90_(%DC%90%DC%A3%DC%9D%DC%98%DC%AC%DC%90)" title="ܐܫܬܐ (ܐܣܝܘܬܐ) – Aramaic" lang="arc" hreflang="arc" data-title="ܐܫܬܐ (ܐܣܝܘܬܐ)" data-language-autonym="ܐܪܡܝܐ" data-language-local-name="Aramaic" class="interlanguage-link-target"><span>ܐܪܡܝܐ</span></a></li><li class="interlanguage-link interwiki-hyw mw-list-item"><a href="https://hyw.wikipedia.org/wiki/%D5%8F%D5%A5%D5%B6%D5%A4" title="Տենդ – Western Armenian" lang="hyw" hreflang="hyw" data-title="Տենդ" data-language-autonym="Արեւմտահայերէն" data-language-local-name="Western Armenian" class="interlanguage-link-target"><span>Արեւմտահայերէն</span></a></li><li class="interlanguage-link interwiki-roa-rup mw-list-item"><a href="https://roa-rup.wikipedia.org/wiki/Heavr%C3%A2" title="Heavrâ – Aromanian" lang="rup" hreflang="rup" data-title="Heavrâ" data-language-autonym="Armãneashti" data-language-local-name="Aromanian" class="interlanguage-link-target"><span>Armãneashti</span></a></li><li class="interlanguage-link interwiki-as mw-list-item"><a href="https://as.wikipedia.org/wiki/%E0%A6%9C%E0%A7%8D%E0%A6%AC%E0%A7%B0" title="জ্বৰ – Assamese" lang="as" hreflang="as" data-title="জ্বৰ" data-language-autonym="অসমীয়া" data-language-local-name="Assamese" class="interlanguage-link-target"><span>অসমীয়া</span></a></li><li class="interlanguage-link interwiki-ast mw-list-item"><a href="https://ast.wikipedia.org/wiki/Fiebre" title="Fiebre – Asturian" lang="ast" hreflang="ast" data-title="Fiebre" data-language-autonym="Asturianu" data-language-local-name="Asturian" class="interlanguage-link-target"><span>Asturianu</span></a></li><li class="interlanguage-link interwiki-gn mw-list-item"><a href="https://gn.wikipedia.org/wiki/Ak%C3%A3nundu" title="Akãnundu – Guarani" lang="gn" hreflang="gn" data-title="Akãnundu" data-language-autonym="Avañe'ẽ" data-language-local-name="Guarani" class="interlanguage-link-target"><span>Avañe'ẽ</span></a></li><li class="interlanguage-link interwiki-az mw-list-item"><a href="https://az.wikipedia.org/wiki/Q%C4%B1zd%C4%B1rma" title="Qızdırma – Azerbaijani" lang="az" hreflang="az" data-title="Qızdırma" data-language-autonym="Azərbaycanca" data-language-local-name="Azerbaijani" class="interlanguage-link-target"><span>Azərbaycanca</span></a></li><li class="interlanguage-link interwiki-bn mw-list-item"><a href="https://bn.wikipedia.org/wiki/%E0%A6%9C%E0%A7%8D%E0%A6%AC%E0%A6%B0" title="জ্বর – Bangla" lang="bn" hreflang="bn" data-title="জ্বর" data-language-autonym="বাংলা" data-language-local-name="Bangla" class="interlanguage-link-target"><span>বাংলা</span></a></li><li class="interlanguage-link interwiki-zh-min-nan mw-list-item"><a href="https://zh-min-nan.wikipedia.org/wiki/Hoat-sio" title="Hoat-sio – Minnan" lang="nan" hreflang="nan" data-title="Hoat-sio" data-language-autonym="閩南語 / Bân-lâm-gú" data-language-local-name="Minnan" class="interlanguage-link-target"><span>閩南語 / Bân-lâm-gú</span></a></li><li class="interlanguage-link interwiki-be mw-list-item"><a href="https://be.wikipedia.org/wiki/%D0%9B%D1%96%D1%85%D0%B0%D0%BC%D0%B0%D0%BD%D0%BA%D0%B0" title="Ліхаманка – Belarusian" lang="be" hreflang="be" data-title="Ліхаманка" data-language-autonym="Беларуская" data-language-local-name="Belarusian" class="interlanguage-link-target"><span>Беларуская</span></a></li><li class="interlanguage-link interwiki-be-x-old mw-list-item"><a href="https://be-tarask.wikipedia.org/wiki/%D0%9B%D1%96%D1%85%D0%B0%D0%BC%D0%B0%D0%BD%D0%BA%D0%B0" title="Ліхаманка – Belarusian (Taraškievica orthography)" lang="be-tarask" hreflang="be-tarask" data-title="Ліхаманка" data-language-autonym="Беларуская (тарашкевіца)" data-language-local-name="Belarusian (Taraškievica orthography)" class="interlanguage-link-target"><span>Беларуская (тарашкевіца)</span></a></li><li class="interlanguage-link interwiki-bcl mw-list-item"><a href="https://bcl.wikipedia.org/wiki/Kalintura" title="Kalintura – Central Bikol" lang="bcl" hreflang="bcl" data-title="Kalintura" data-language-autonym="Bikol Central" data-language-local-name="Central Bikol" class="interlanguage-link-target"><span>Bikol Central</span></a></li><li class="interlanguage-link interwiki-bg mw-list-item"><a href="https://bg.wikipedia.org/wiki/%D0%A2%D1%80%D0%B5%D1%81%D0%BA%D0%B0_(%D0%BC%D0%B5%D0%B4%D0%B8%D1%86%D0%B8%D0%BD%D0%B0)" title="Треска (медицина) – Bulgarian" lang="bg" hreflang="bg" data-title="Треска (медицина)" data-language-autonym="Български" data-language-local-name="Bulgarian" class="interlanguage-link-target"><span>Български</span></a></li><li class="interlanguage-link interwiki-bs mw-list-item"><a href="https://bs.wikipedia.org/wiki/Groznica" title="Groznica – Bosnian" lang="bs" hreflang="bs" data-title="Groznica" data-language-autonym="Bosanski" data-language-local-name="Bosnian" class="interlanguage-link-target"><span>Bosanski</span></a></li><li class="interlanguage-link interwiki-ca mw-list-item"><a href="https://ca.wikipedia.org/wiki/Febre" title="Febre – Catalan" lang="ca" hreflang="ca" data-title="Febre" data-language-autonym="Català" data-language-local-name="Catalan" class="interlanguage-link-target"><span>Català</span></a></li><li class="interlanguage-link interwiki-cs mw-list-item"><a href="https://cs.wikipedia.org/wiki/Hore%C4%8Dka" title="Horečka – Czech" lang="cs" hreflang="cs" data-title="Horečka" data-language-autonym="Čeština" data-language-local-name="Czech" class="interlanguage-link-target"><span>Čeština</span></a></li><li class="interlanguage-link interwiki-cy mw-list-item"><a href="https://cy.wikipedia.org/wiki/Y_dwymyn" title="Y dwymyn – Welsh" lang="cy" hreflang="cy" data-title="Y dwymyn" data-language-autonym="Cymraeg" data-language-local-name="Welsh" class="interlanguage-link-target"><span>Cymraeg</span></a></li><li class="interlanguage-link interwiki-da mw-list-item"><a href="https://da.wikipedia.org/wiki/Feber" title="Feber – Danish" lang="da" hreflang="da" data-title="Feber" data-language-autonym="Dansk" data-language-local-name="Danish" class="interlanguage-link-target"><span>Dansk</span></a></li><li class="interlanguage-link interwiki-de mw-list-item"><a href="https://de.wikipedia.org/wiki/Fieber" title="Fieber – German" lang="de" hreflang="de" data-title="Fieber" data-language-autonym="Deutsch" data-language-local-name="German" class="interlanguage-link-target"><span>Deutsch</span></a></li><li class="interlanguage-link interwiki-et mw-list-item"><a href="https://et.wikipedia.org/wiki/Palavik" title="Palavik – Estonian" lang="et" hreflang="et" data-title="Palavik" data-language-autonym="Eesti" data-language-local-name="Estonian" class="interlanguage-link-target"><span>Eesti</span></a></li><li class="interlanguage-link interwiki-el mw-list-item"><a href="https://el.wikipedia.org/wiki/%CE%A0%CF%85%CF%81%CE%B5%CF%84%CF%8C%CF%82" title="Πυρετός – Greek" lang="el" hreflang="el" data-title="Πυρετός" data-language-autonym="Ελληνικά" data-language-local-name="Greek" class="interlanguage-link-target"><span>Ελληνικά</span></a></li><li class="interlanguage-link interwiki-es mw-list-item"><a href="https://es.wikipedia.org/wiki/Fiebre" title="Fiebre – Spanish" lang="es" hreflang="es" data-title="Fiebre" data-language-autonym="Español" data-language-local-name="Spanish" class="interlanguage-link-target"><span>Español</span></a></li><li class="interlanguage-link interwiki-eo mw-list-item"><a href="https://eo.wikipedia.org/wiki/Febro" title="Febro – Esperanto" lang="eo" hreflang="eo" data-title="Febro" data-language-autonym="Esperanto" data-language-local-name="Esperanto" class="interlanguage-link-target"><span>Esperanto</span></a></li><li class="interlanguage-link interwiki-eu mw-list-item"><a href="https://eu.wikipedia.org/wiki/Sukar" title="Sukar – Basque" lang="eu" hreflang="eu" data-title="Sukar" data-language-autonym="Euskara" data-language-local-name="Basque" class="interlanguage-link-target"><span>Euskara</span></a></li><li class="interlanguage-link interwiki-fa mw-list-item"><a href="https://fa.wikipedia.org/wiki/%D8%AA%D8%A8" title="تب – Persian" lang="fa" hreflang="fa" data-title="تب" data-language-autonym="فارسی" data-language-local-name="Persian" class="interlanguage-link-target"><span>فارسی</span></a></li><li class="interlanguage-link interwiki-fr mw-list-item"><a href="https://fr.wikipedia.org/wiki/Fi%C3%A8vre" title="Fièvre – French" lang="fr" hreflang="fr" data-title="Fièvre" data-language-autonym="Français" data-language-local-name="French" class="interlanguage-link-target"><span>Français</span></a></li><li class="interlanguage-link interwiki-ga mw-list-item"><a href="https://ga.wikipedia.org/wiki/Fiabhras" title="Fiabhras – Irish" lang="ga" hreflang="ga" data-title="Fiabhras" data-language-autonym="Gaeilge" data-language-local-name="Irish" class="interlanguage-link-target"><span>Gaeilge</span></a></li><li class="interlanguage-link interwiki-gl mw-list-item"><a href="https://gl.wikipedia.org/wiki/Febre" title="Febre – Galician" lang="gl" hreflang="gl" data-title="Febre" data-language-autonym="Galego" data-language-local-name="Galician" class="interlanguage-link-target"><span>Galego</span></a></li><li class="interlanguage-link interwiki-gu mw-list-item"><a href="https://gu.wikipedia.org/wiki/%E0%AA%A4%E0%AA%BE%E0%AA%B5" title="તાવ – Gujarati" lang="gu" hreflang="gu" data-title="તાવ" data-language-autonym="ગુજરાતી" data-language-local-name="Gujarati" class="interlanguage-link-target"><span>ગુજરાતી</span></a></li><li class="interlanguage-link interwiki-ko mw-list-item"><a href="https://ko.wikipedia.org/wiki/%EB%B0%9C%EC%97%B4" title="발열 – Korean" lang="ko" hreflang="ko" data-title="발열" data-language-autonym="한국어" data-language-local-name="Korean" class="interlanguage-link-target"><span>한국어</span></a></li><li class="interlanguage-link interwiki-ha mw-list-item"><a href="https://ha.wikipedia.org/wiki/Zazza%C9%93i" title="Zazzaɓi – Hausa" lang="ha" hreflang="ha" data-title="Zazzaɓi" data-language-autonym="Hausa" data-language-local-name="Hausa" class="interlanguage-link-target"><span>Hausa</span></a></li><li class="interlanguage-link interwiki-hy mw-list-item"><a href="https://hy.wikipedia.org/wiki/%D5%8F%D5%A5%D5%B6%D5%A4" title="Տենդ – Armenian" lang="hy" hreflang="hy" data-title="Տենդ" data-language-autonym="Հայերեն" data-language-local-name="Armenian" class="interlanguage-link-target"><span>Հայերեն</span></a></li><li class="interlanguage-link interwiki-hi mw-list-item"><a href="https://hi.wikipedia.org/wiki/%E0%A4%9C%E0%A5%8D%E0%A4%B5%E0%A4%B0" title="ज्वर – Hindi" lang="hi" hreflang="hi" data-title="ज्वर" data-language-autonym="हिन्दी" data-language-local-name="Hindi" class="interlanguage-link-target"><span>हिन्दी</span></a></li><li class="interlanguage-link interwiki-hr mw-list-item"><a href="https://hr.wikipedia.org/wiki/Groznica" title="Groznica – Croatian" lang="hr" hreflang="hr" data-title="Groznica" data-language-autonym="Hrvatski" data-language-local-name="Croatian" class="interlanguage-link-target"><span>Hrvatski</span></a></li><li class="interlanguage-link interwiki-io mw-list-item"><a href="https://io.wikipedia.org/wiki/Febro" title="Febro – Ido" lang="io" hreflang="io" data-title="Febro" data-language-autonym="Ido" data-language-local-name="Ido" class="interlanguage-link-target"><span>Ido</span></a></li><li class="interlanguage-link interwiki-id mw-list-item"><a href="https://id.wikipedia.org/wiki/Demam" title="Demam – Indonesian" lang="id" hreflang="id" data-title="Demam" data-language-autonym="Bahasa Indonesia" data-language-local-name="Indonesian" class="interlanguage-link-target"><span>Bahasa Indonesia</span></a></li><li class="interlanguage-link interwiki-ia mw-list-item"><a href="https://ia.wikipedia.org/wiki/Febre" title="Febre – Interlingua" lang="ia" hreflang="ia" data-title="Febre" data-language-autonym="Interlingua" data-language-local-name="Interlingua" class="interlanguage-link-target"><span>Interlingua</span></a></li><li class="interlanguage-link interwiki-is mw-list-item"><a href="https://is.wikipedia.org/wiki/Hiti_(sj%C3%BAkd%C3%B3ms%C3%A1stand)" title="Hiti (sjúkdómsástand) – Icelandic" lang="is" hreflang="is" data-title="Hiti (sjúkdómsástand)" data-language-autonym="Íslenska" data-language-local-name="Icelandic" class="interlanguage-link-target"><span>Íslenska</span></a></li><li class="interlanguage-link interwiki-it mw-list-item"><a href="https://it.wikipedia.org/wiki/Febbre" title="Febbre – Italian" lang="it" hreflang="it" data-title="Febbre" data-language-autonym="Italiano" data-language-local-name="Italian" class="interlanguage-link-target"><span>Italiano</span></a></li><li class="interlanguage-link interwiki-he mw-list-item"><a href="https://he.wikipedia.org/wiki/%D7%97%D7%95%D7%9D_(%D7%AA%D7%A1%D7%9E%D7%99%D7%9F)" title="חום (תסמין) – Hebrew" lang="he" hreflang="he" data-title="חום (תסמין)" data-language-autonym="עברית" data-language-local-name="Hebrew" class="interlanguage-link-target"><span>עברית</span></a></li><li class="interlanguage-link interwiki-kn mw-list-item"><a href="https://kn.wikipedia.org/wiki/%E0%B2%9C%E0%B3%8D%E0%B2%B5%E0%B2%B0" title="ಜ್ವರ – Kannada" lang="kn" hreflang="kn" data-title="ಜ್ವರ" data-language-autonym="ಕನ್ನಡ" data-language-local-name="Kannada" class="interlanguage-link-target"><span>ಕನ್ನಡ</span></a></li><li class="interlanguage-link interwiki-ka mw-list-item"><a href="https://ka.wikipedia.org/wiki/%E1%83%AA%E1%83%AE%E1%83%94%E1%83%9A%E1%83%94%E1%83%91%E1%83%90" title="ცხელება – Georgian" lang="ka" hreflang="ka" data-title="ცხელება" data-language-autonym="ქართული" data-language-local-name="Georgian" class="interlanguage-link-target"><span>ქართული</span></a></li><li class="interlanguage-link interwiki-ks mw-list-item"><a href="https://ks.wikipedia.org/wiki/%D8%AA%D9%8E%D9%BE%DA%BE" title="تَپھ – Kashmiri" lang="ks" hreflang="ks" data-title="تَپھ" data-language-autonym="कॉशुर / کٲشُر" data-language-local-name="Kashmiri" class="interlanguage-link-target"><span>कॉशुर / کٲشُر</span></a></li><li class="interlanguage-link interwiki-kk mw-list-item"><a href="https://kk.wikipedia.org/wiki/%D2%9A%D1%8B%D0%B7%D0%B1%D0%B0" title="Қызба – Kazakh" lang="kk" hreflang="kk" data-title="Қызба" data-language-autonym="Қазақша" data-language-local-name="Kazakh" class="interlanguage-link-target"><span>Қазақша</span></a></li><li class="interlanguage-link interwiki-sw mw-list-item"><a href="https://sw.wikipedia.org/wiki/Homa" title="Homa – Swahili" lang="sw" hreflang="sw" data-title="Homa" data-language-autonym="Kiswahili" data-language-local-name="Swahili" class="interlanguage-link-target"><span>Kiswahili</span></a></li><li class="interlanguage-link interwiki-ht mw-list-item"><a href="https://ht.wikipedia.org/wiki/Lafy%C3%A8v" title="Lafyèv – Haitian Creole" lang="ht" hreflang="ht" data-title="Lafyèv" data-language-autonym="Kreyòl ayisyen" data-language-local-name="Haitian Creole" class="interlanguage-link-target"><span>Kreyòl ayisyen</span></a></li><li class="interlanguage-link interwiki-ku mw-list-item"><a href="https://ku.wikipedia.org/wiki/Ta_(biyoloj%C3%AE)" title="Ta (biyolojî) – Kurdish" lang="ku" hreflang="ku" data-title="Ta (biyolojî)" data-language-autonym="Kurdî" data-language-local-name="Kurdish" class="interlanguage-link-target"><span>Kurdî</span></a></li><li class="interlanguage-link interwiki-ky mw-list-item"><a href="https://ky.wikipedia.org/wiki/%D0%9A%D0%B0%D0%BB%D1%82%D1%8B%D1%80%D0%B0%D1%82%D0%BC%D0%B0" title="Калтыратма – Kyrgyz" lang="ky" hreflang="ky" data-title="Калтыратма" data-language-autonym="Кыргызча" data-language-local-name="Kyrgyz" class="interlanguage-link-target"><span>Кыргызча</span></a></li><li class="interlanguage-link interwiki-la mw-list-item"><a href="https://la.wikipedia.org/wiki/Febris" title="Febris – Latin" lang="la" hreflang="la" data-title="Febris" data-language-autonym="Latina" data-language-local-name="Latin" class="interlanguage-link-target"><span>Latina</span></a></li><li class="interlanguage-link interwiki-lv mw-list-item"><a href="https://lv.wikipedia.org/wiki/Drudzis" title="Drudzis – Latvian" lang="lv" hreflang="lv" data-title="Drudzis" data-language-autonym="Latviešu" data-language-local-name="Latvian" class="interlanguage-link-target"><span>Latviešu</span></a></li><li class="interlanguage-link interwiki-lt mw-list-item"><a href="https://lt.wikipedia.org/wiki/Kar%C5%A1%C4%8Diavimas" title="Karščiavimas – Lithuanian" lang="lt" hreflang="lt" data-title="Karščiavimas" data-language-autonym="Lietuvių" data-language-local-name="Lithuanian" class="interlanguage-link-target"><span>Lietuvių</span></a></li><li class="interlanguage-link interwiki-nia mw-list-item"><a href="https://nia.wikipedia.org/wiki/Mofa%27aukhu" title="Mofa'aukhu – Nias" lang="nia" hreflang="nia" data-title="Mofa'aukhu" data-language-autonym="Li Niha" data-language-local-name="Nias" class="interlanguage-link-target"><span>Li Niha</span></a></li><li class="interlanguage-link interwiki-ln mw-list-item"><a href="https://ln.wikipedia.org/wiki/F%C9%9B%CC%81f%C9%9Bl%C9%9B" title="Fɛ́fɛlɛ – Lingala" lang="ln" hreflang="ln" data-title="Fɛ́fɛlɛ" data-language-autonym="Lingála" data-language-local-name="Lingala" class="interlanguage-link-target"><span>Lingála</span></a></li><li class="interlanguage-link interwiki-lmo mw-list-item"><a href="https://lmo.wikipedia.org/wiki/Fever" title="Fever – Lombard" lang="lmo" hreflang="lmo" data-title="Fever" data-language-autonym="Lombard" data-language-local-name="Lombard" class="interlanguage-link-target"><span>Lombard</span></a></li><li class="interlanguage-link interwiki-hu mw-list-item"><a href="https://hu.wikipedia.org/wiki/L%C3%A1z_(%C3%A9lettan)" title="Láz (élettan) – Hungarian" lang="hu" hreflang="hu" data-title="Láz (élettan)" data-language-autonym="Magyar" data-language-local-name="Hungarian" class="interlanguage-link-target"><span>Magyar</span></a></li><li class="interlanguage-link interwiki-mk mw-list-item"><a href="https://mk.wikipedia.org/wiki/%D0%A2%D1%80%D0%B5%D1%81%D0%BA%D0%B0_(%D1%81%D0%BE%D1%81%D1%82%D0%BE%D1%98%D0%B1%D0%B0)" title="Треска (состојба) – Macedonian" lang="mk" hreflang="mk" data-title="Треска (состојба)" data-language-autonym="Македонски" data-language-local-name="Macedonian" class="interlanguage-link-target"><span>Македонски</span></a></li><li class="interlanguage-link interwiki-ml mw-list-item"><a href="https://ml.wikipedia.org/wiki/%E0%B4%AA%E0%B4%A8%E0%B4%BF" title="പനി – Malayalam" lang="ml" hreflang="ml" data-title="പനി" data-language-autonym="മലയാളം" data-language-local-name="Malayalam" class="interlanguage-link-target"><span>മലയാളം</span></a></li><li class="interlanguage-link interwiki-arz mw-list-item"><a href="https://arz.wikipedia.org/wiki/%D8%AD%D9%85%D9%89" title="حمى – Egyptian Arabic" lang="arz" hreflang="arz" data-title="حمى" data-language-autonym="مصرى" data-language-local-name="Egyptian Arabic" class="interlanguage-link-target"><span>مصرى</span></a></li><li class="interlanguage-link interwiki-ms mw-list-item"><a href="https://ms.wikipedia.org/wiki/Demam" title="Demam – Malay" lang="ms" hreflang="ms" data-title="Demam" data-language-autonym="Bahasa Melayu" data-language-local-name="Malay" class="interlanguage-link-target"><span>Bahasa Melayu</span></a></li><li class="interlanguage-link interwiki-min mw-list-item"><a href="https://min.wikipedia.org/wiki/Damam" title="Damam – Minangkabau" lang="min" hreflang="min" data-title="Damam" data-language-autonym="Minangkabau" data-language-local-name="Minangkabau" class="interlanguage-link-target"><span>Minangkabau</span></a></li><li class="interlanguage-link interwiki-my mw-list-item"><a href="https://my.wikipedia.org/wiki/%E1%80%96%E1%80%BB%E1%80%AC%E1%80%B8%E1%80%94%E1%80%AC%E1%80%81%E1%80%BC%E1%80%84%E1%80%BA%E1%80%B8" title="ဖျားနာခြင်း – Burmese" lang="my" hreflang="my" data-title="ဖျားနာခြင်း" data-language-autonym="မြန်မာဘာသာ" data-language-local-name="Burmese" class="interlanguage-link-target"><span>မြန်မာဘာသာ</span></a></li><li class="interlanguage-link interwiki-nl mw-list-item"><a href="https://nl.wikipedia.org/wiki/Koorts" title="Koorts – Dutch" lang="nl" hreflang="nl" data-title="Koorts" data-language-autonym="Nederlands" data-language-local-name="Dutch" class="interlanguage-link-target"><span>Nederlands</span></a></li><li class="interlanguage-link interwiki-ne mw-list-item"><a href="https://ne.wikipedia.org/wiki/%E0%A4%9C%E0%A5%8D%E0%A4%B5%E0%A4%B0%E0%A5%8B" title="ज्वरो – Nepali" lang="ne" hreflang="ne" data-title="ज्वरो" data-language-autonym="नेपाली" data-language-local-name="Nepali" class="interlanguage-link-target"><span>नेपाली</span></a></li><li class="interlanguage-link interwiki-new mw-list-item"><a href="https://new.wikipedia.org/wiki/%E0%A4%9C%E0%A5%8D%E0%A4%B5%E0%A4%B0" title="ज्वर – Newari" lang="new" hreflang="new" data-title="ज्वर" data-language-autonym="नेपाल भाषा" data-language-local-name="Newari" class="interlanguage-link-target"><span>नेपाल भाषा</span></a></li><li class="interlanguage-link interwiki-ja mw-list-item"><a href="https://ja.wikipedia.org/wiki/%E7%99%BA%E7%86%B1" title="発熱 – Japanese" lang="ja" hreflang="ja" data-title="発熱" data-language-autonym="日本語" data-language-local-name="Japanese" class="interlanguage-link-target"><span>日本語</span></a></li><li class="interlanguage-link interwiki-no mw-list-item"><a href="https://no.wikipedia.org/wiki/Feber" title="Feber – Norwegian Bokmål" lang="nb" hreflang="nb" data-title="Feber" data-language-autonym="Norsk bokmål" data-language-local-name="Norwegian Bokmål" class="interlanguage-link-target"><span>Norsk bokmål</span></a></li><li class="interlanguage-link interwiki-nn mw-list-item"><a href="https://nn.wikipedia.org/wiki/Feber" title="Feber – Norwegian Nynorsk" lang="nn" hreflang="nn" data-title="Feber" data-language-autonym="Norsk nynorsk" data-language-local-name="Norwegian Nynorsk" class="interlanguage-link-target"><span>Norsk nynorsk</span></a></li><li class="interlanguage-link interwiki-oc mw-list-item"><a href="https://oc.wikipedia.org/wiki/F%C3%A8bre" title="Fèbre – Occitan" lang="oc" hreflang="oc" data-title="Fèbre" data-language-autonym="Occitan" data-language-local-name="Occitan" class="interlanguage-link-target"><span>Occitan</span></a></li><li class="interlanguage-link interwiki-or mw-list-item"><a href="https://or.wikipedia.org/wiki/%E0%AC%9C%E0%AD%8D%E0%AD%B1%E0%AC%B0" title="ଜ୍ୱର – Odia" lang="or" hreflang="or" data-title="ଜ୍ୱର" data-language-autonym="ଓଡ଼ିଆ" data-language-local-name="Odia" class="interlanguage-link-target"><span>ଓଡ଼ିଆ</span></a></li><li class="interlanguage-link interwiki-uz mw-list-item"><a href="https://uz.wikipedia.org/wiki/Isitma" title="Isitma – Uzbek" lang="uz" hreflang="uz" data-title="Isitma" data-language-autonym="Oʻzbekcha / ўзбекча" data-language-local-name="Uzbek" class="interlanguage-link-target"><span>Oʻzbekcha / ўзбекча</span></a></li><li class="interlanguage-link interwiki-pa mw-list-item"><a href="https://pa.wikipedia.org/wiki/%E0%A8%A4%E0%A8%BE%E0%A8%AA_(%E0%A8%AC%E0%A8%BF%E0%A8%AE%E0%A8%BE%E0%A8%B0%E0%A9%80)" title="ਤਾਪ (ਬਿਮਾਰੀ) – Punjabi" lang="pa" hreflang="pa" data-title="ਤਾਪ (ਬਿਮਾਰੀ)" data-language-autonym="ਪੰਜਾਬੀ" data-language-local-name="Punjabi" class="interlanguage-link-target"><span>ਪੰਜਾਬੀ</span></a></li><li class="interlanguage-link interwiki-pnb mw-list-item"><a href="https://pnb.wikipedia.org/wiki/%D8%AA%D8%A7%D9%BE" title="تاپ – Western Punjabi" lang="pnb" hreflang="pnb" data-title="تاپ" data-language-autonym="پنجابی" data-language-local-name="Western Punjabi" class="interlanguage-link-target"><span>پنجابی</span></a></li><li class="interlanguage-link interwiki-blk mw-list-item"><a href="https://blk.wikipedia.org/wiki/%E1%80%91%E1%80%AC%EA%A9%BB%E1%80%86%E1%80%B1%E1%80%AC%E1%80%B7%E1%80%9B%E1%80%B1%E1%80%AC%E1%82%8F%E1%80%82%E1%80%AB%E1%82%8F" title="ထာꩻဆော့ရောႏဂါႏ – Pa'O" lang="blk" hreflang="blk" data-title="ထာꩻဆော့ရောႏဂါႏ" data-language-autonym="ပအိုဝ်ႏဘာႏသာႏ" data-language-local-name="Pa'O" class="interlanguage-link-target"><span>ပအိုဝ်ႏဘာႏသာႏ</span></a></li><li class="interlanguage-link interwiki-ps mw-list-item"><a href="https://ps.wikipedia.org/wiki/%D8%AA%D8%A8%D9%87" title="تبه – Pashto" lang="ps" hreflang="ps" data-title="تبه" data-language-autonym="پښتو" data-language-local-name="Pashto" class="interlanguage-link-target"><span>پښتو</span></a></li><li class="interlanguage-link interwiki-pl mw-list-item"><a href="https://pl.wikipedia.org/wiki/Gor%C4%85czka" title="Gorączka – Polish" lang="pl" hreflang="pl" data-title="Gorączka" data-language-autonym="Polski" data-language-local-name="Polish" class="interlanguage-link-target"><span>Polski</span></a></li><li class="interlanguage-link interwiki-pt mw-list-item"><a href="https://pt.wikipedia.org/wiki/Febre" title="Febre – Portuguese" lang="pt" hreflang="pt" data-title="Febre" data-language-autonym="Português" data-language-local-name="Portuguese" class="interlanguage-link-target"><span>Português</span></a></li><li class="interlanguage-link interwiki-ro mw-list-item"><a href="https://ro.wikipedia.org/wiki/Febr%C4%83" title="Febră – Romanian" lang="ro" hreflang="ro" data-title="Febră" data-language-autonym="Română" data-language-local-name="Romanian" class="interlanguage-link-target"><span>Română</span></a></li><li class="interlanguage-link interwiki-qu mw-list-item"><a href="https://qu.wikipedia.org/wiki/Ruphariy" title="Ruphariy – Quechua" lang="qu" hreflang="qu" data-title="Ruphariy" data-language-autonym="Runa Simi" data-language-local-name="Quechua" class="interlanguage-link-target"><span>Runa Simi</span></a></li><li class="interlanguage-link interwiki-ru mw-list-item"><a href="https://ru.wikipedia.org/wiki/%D0%9B%D0%B8%D1%85%D0%BE%D1%80%D0%B0%D0%B4%D0%BA%D0%B0" title="Лихорадка – Russian" lang="ru" hreflang="ru" data-title="Лихорадка" data-language-autonym="Русский" data-language-local-name="Russian" class="interlanguage-link-target"><span>Русский</span></a></li><li class="interlanguage-link interwiki-sa mw-list-item"><a href="https://sa.wikipedia.org/wiki/%E0%A4%9C%E0%A5%8D%E0%A4%B5%E0%A4%B0%E0%A4%83" title="ज्वरः – Sanskrit" lang="sa" hreflang="sa" data-title="ज्वरः" data-language-autonym="संस्कृतम्" data-language-local-name="Sanskrit" class="interlanguage-link-target"><span>संस्कृतम्</span></a></li><li class="interlanguage-link interwiki-sat mw-list-item"><a href="https://sat.wikipedia.org/wiki/%E1%B1%A8%E1%B1%A9%E1%B1%A3%E1%B1%9F%E1%B1%B9" title="ᱨᱩᱣᱟᱹ – Santali" lang="sat" hreflang="sat" data-title="ᱨᱩᱣᱟᱹ" data-language-autonym="ᱥᱟᱱᱛᱟᱲᱤ" data-language-local-name="Santali" class="interlanguage-link-target"><span>ᱥᱟᱱᱛᱟᱲᱤ</span></a></li><li class="interlanguage-link interwiki-st mw-list-item"><a href="https://st.wikipedia.org/wiki/Feberu" title="Feberu – Southern Sotho" lang="st" hreflang="st" data-title="Feberu" data-language-autonym="Sesotho" data-language-local-name="Southern Sotho" class="interlanguage-link-target"><span>Sesotho</span></a></li><li class="interlanguage-link interwiki-sq mw-list-item"><a href="https://sq.wikipedia.org/wiki/Ethet" title="Ethet – Albanian" lang="sq" hreflang="sq" data-title="Ethet" data-language-autonym="Shqip" data-language-local-name="Albanian" class="interlanguage-link-target"><span>Shqip</span></a></li><li class="interlanguage-link interwiki-scn mw-list-item"><a href="https://scn.wikipedia.org/wiki/Frevi" title="Frevi – Sicilian" lang="scn" hreflang="scn" data-title="Frevi" data-language-autonym="Sicilianu" data-language-local-name="Sicilian" class="interlanguage-link-target"><span>Sicilianu</span></a></li><li class="interlanguage-link interwiki-si mw-list-item"><a href="https://si.wikipedia.org/wiki/%E0%B6%8B%E0%B6%AB" title="උණ – Sinhala" lang="si" hreflang="si" data-title="උණ" data-language-autonym="සිංහල" data-language-local-name="Sinhala" class="interlanguage-link-target"><span>සිංහල</span></a></li><li class="interlanguage-link interwiki-simple mw-list-item"><a href="https://simple.wikipedia.org/wiki/Fever" title="Fever – Simple English" lang="en-simple" hreflang="en-simple" data-title="Fever" data-language-autonym="Simple English" data-language-local-name="Simple English" class="interlanguage-link-target"><span>Simple English</span></a></li><li class="interlanguage-link interwiki-sd mw-list-item"><a href="https://sd.wikipedia.org/wiki/%D8%AA%D9%BE" title="تپ – Sindhi" lang="sd" hreflang="sd" data-title="تپ" data-language-autonym="سنڌي" data-language-local-name="Sindhi" class="interlanguage-link-target"><span>سنڌي</span></a></li><li class="interlanguage-link interwiki-sk mw-list-item"><a href="https://sk.wikipedia.org/wiki/Hor%C3%BA%C4%8Dka" title="Horúčka – Slovak" lang="sk" hreflang="sk" data-title="Horúčka" data-language-autonym="Slovenčina" data-language-local-name="Slovak" class="interlanguage-link-target"><span>Slovenčina</span></a></li><li class="interlanguage-link interwiki-sl mw-list-item"><a href="https://sl.wikipedia.org/wiki/Vro%C4%8Dina" title="Vročina – Slovenian" lang="sl" hreflang="sl" data-title="Vročina" data-language-autonym="Slovenščina" data-language-local-name="Slovenian" class="interlanguage-link-target"><span>Slovenščina</span></a></li><li class="interlanguage-link interwiki-ckb mw-list-item"><a href="https://ckb.wikipedia.org/wiki/%D8%AA%D8%A7_(%D9%86%DB%8C%D8%B4%D8%A7%D9%86%DB%95%DB%8C_%D9%86%DB%95%D8%AE%DB%86%D8%B4%DB%8C)" title="تا (نیشانەی نەخۆشی) – Central Kurdish" lang="ckb" hreflang="ckb" data-title="تا (نیشانەی نەخۆشی)" data-language-autonym="کوردی" data-language-local-name="Central Kurdish" class="interlanguage-link-target"><span>کوردی</span></a></li><li class="interlanguage-link interwiki-sr mw-list-item"><a href="https://sr.wikipedia.org/wiki/Groznica" title="Groznica – Serbian" lang="sr" hreflang="sr" data-title="Groznica" data-language-autonym="Српски / srpski" data-language-local-name="Serbian" class="interlanguage-link-target"><span>Српски / srpski</span></a></li><li class="interlanguage-link interwiki-sh mw-list-item"><a href="https://sh.wikipedia.org/wiki/Groznica" title="Groznica – Serbo-Croatian" lang="sh" hreflang="sh" data-title="Groznica" data-language-autonym="Srpskohrvatski / српскохрватски" data-language-local-name="Serbo-Croatian" class="interlanguage-link-target"><span>Srpskohrvatski / српскохрватски</span></a></li><li class="interlanguage-link interwiki-su mw-list-item"><a href="https://su.wikipedia.org/wiki/Muriang" title="Muriang – Sundanese" lang="su" hreflang="su" data-title="Muriang" data-language-autonym="Sunda" data-language-local-name="Sundanese" class="interlanguage-link-target"><span>Sunda</span></a></li><li class="interlanguage-link interwiki-fi mw-list-item"><a href="https://fi.wikipedia.org/wiki/Kuume" title="Kuume – Finnish" lang="fi" hreflang="fi" data-title="Kuume" data-language-autonym="Suomi" data-language-local-name="Finnish" class="interlanguage-link-target"><span>Suomi</span></a></li><li class="interlanguage-link interwiki-sv mw-list-item"><a href="https://sv.wikipedia.org/wiki/Feber" title="Feber – Swedish" lang="sv" hreflang="sv" data-title="Feber" data-language-autonym="Svenska" data-language-local-name="Swedish" class="interlanguage-link-target"><span>Svenska</span></a></li><li class="interlanguage-link interwiki-tl mw-list-item"><a href="https://tl.wikipedia.org/wiki/Lagnat" title="Lagnat – Tagalog" lang="tl" hreflang="tl" data-title="Lagnat" data-language-autonym="Tagalog" data-language-local-name="Tagalog" class="interlanguage-link-target"><span>Tagalog</span></a></li><li class="interlanguage-link interwiki-ta mw-list-item"><a href="https://ta.wikipedia.org/wiki/%E0%AE%95%E0%AE%BE%E0%AE%AF%E0%AF%8D%E0%AE%9A%E0%AF%8D%E0%AE%9A%E0%AE%B2%E0%AF%8D" title="காய்ச்சல் – Tamil" lang="ta" hreflang="ta" data-title="காய்ச்சல்" data-language-autonym="தமிழ்" data-language-local-name="Tamil" class="interlanguage-link-target"><span>தமிழ்</span></a></li><li class="interlanguage-link interwiki-kab mw-list-item"><a href="https://kab.wikipedia.org/wiki/Tawla" title="Tawla – Kabyle" lang="kab" hreflang="kab" data-title="Tawla" data-language-autonym="Taqbaylit" data-language-local-name="Kabyle" class="interlanguage-link-target"><span>Taqbaylit</span></a></li><li class="interlanguage-link interwiki-te mw-list-item"><a href="https://te.wikipedia.org/wiki/%E0%B0%9C%E0%B1%8D%E0%B0%B5%E0%B0%B0%E0%B0%82" title="జ్వరం – Telugu" lang="te" hreflang="te" data-title="జ్వరం" data-language-autonym="తెలుగు" data-language-local-name="Telugu" class="interlanguage-link-target"><span>తెలుగు</span></a></li><li class="interlanguage-link interwiki-th mw-list-item"><a href="https://th.wikipedia.org/wiki/%E0%B9%84%E0%B8%82%E0%B9%89" title="ไข้ – Thai" lang="th" hreflang="th" data-title="ไข้" data-language-autonym="ไทย" data-language-local-name="Thai" class="interlanguage-link-target"><span>ไทย</span></a></li><li class="interlanguage-link interwiki-tg mw-list-item"><a href="https://tg.wikipedia.org/wiki/%D0%A2%D0%B0%D0%B1" title="Таб – Tajik" lang="tg" hreflang="tg" data-title="Таб" data-language-autonym="Тоҷикӣ" data-language-local-name="Tajik" class="interlanguage-link-target"><span>Тоҷикӣ</span></a></li><li class="interlanguage-link interwiki-tcy mw-list-item"><a href="https://tcy.wikipedia.org/wiki/%E0%B2%9C%E0%B2%B0%E0%B3%8A" title="ಜರೊ – Tulu" lang="tcy" hreflang="tcy" data-title="ಜರೊ" data-language-autonym="ತುಳು" data-language-local-name="Tulu" class="interlanguage-link-target"><span>ತುಳು</span></a></li><li class="interlanguage-link interwiki-tr mw-list-item"><a href="https://tr.wikipedia.org/wiki/Ate%C5%9F_(t%C4%B1p)" title="Ateş (tıp) – Turkish" lang="tr" hreflang="tr" data-title="Ateş (tıp)" data-language-autonym="Türkçe" data-language-local-name="Turkish" class="interlanguage-link-target"><span>Türkçe</span></a></li><li class="interlanguage-link interwiki-uk mw-list-item"><a href="https://uk.wikipedia.org/wiki/%D0%93%D0%B0%D1%80%D1%8F%D1%87%D0%BA%D0%B0" title="Гарячка – Ukrainian" lang="uk" hreflang="uk" data-title="Гарячка" data-language-autonym="Українська" data-language-local-name="Ukrainian" class="interlanguage-link-target"><span>Українська</span></a></li><li class="interlanguage-link interwiki-ur mw-list-item"><a href="https://ur.wikipedia.org/wiki/%D8%A8%D8%AE%D8%A7%D8%B1" title="بخار – Urdu" lang="ur" hreflang="ur" data-title="بخار" data-language-autonym="اردو" data-language-local-name="Urdu" class="interlanguage-link-target"><span>اردو</span></a></li><li class="interlanguage-link interwiki-ug mw-list-item"><a href="https://ug.wikipedia.org/wiki/%D9%82%D9%89%D8%B2%D9%89%D8%AA%D9%85%D8%A7" title="قىزىتما – Uyghur" lang="ug" hreflang="ug" data-title="قىزىتما" data-language-autonym="ئۇيغۇرچە / Uyghurche" data-language-local-name="Uyghur" class="interlanguage-link-target"><span>ئۇيغۇرچە / Uyghurche</span></a></li><li class="interlanguage-link interwiki-za mw-list-item"><a href="https://za.wikipedia.org/wiki/Fatndat" title="Fatndat – Zhuang" lang="za" hreflang="za" data-title="Fatndat" data-language-autonym="Vahcuengh" data-language-local-name="Zhuang" class="interlanguage-link-target"><span>Vahcuengh</span></a></li><li class="interlanguage-link interwiki-vec mw-list-item"><a href="https://vec.wikipedia.org/wiki/Fevra" title="Fevra – Venetian" lang="vec" hreflang="vec" data-title="Fevra" data-language-autonym="Vèneto" data-language-local-name="Venetian" class="interlanguage-link-target"><span>Vèneto</span></a></li><li class="interlanguage-link interwiki-vi mw-list-item"><a href="https://vi.wikipedia.org/wiki/S%E1%BB%91t" title="Sốt – Vietnamese" lang="vi" hreflang="vi" data-title="Sốt" data-language-autonym="Tiếng Việt" data-language-local-name="Vietnamese" class="interlanguage-link-target"><span>Tiếng Việt</span></a></li><li class="interlanguage-link interwiki-wa mw-list-item"><a href="https://wa.wikipedia.org/wiki/Five" title="Five – Walloon" lang="wa" hreflang="wa" data-title="Five" data-language-autonym="Walon" data-language-local-name="Walloon" class="interlanguage-link-target"><span>Walon</span></a></li><li class="interlanguage-link interwiki-war mw-list-item"><a href="https://war.wikipedia.org/wiki/Hiranat" title="Hiranat – Waray" lang="war" hreflang="war" data-title="Hiranat" data-language-autonym="Winaray" data-language-local-name="Waray" class="interlanguage-link-target"><span>Winaray</span></a></li><li class="interlanguage-link interwiki-wuu mw-list-item"><a href="https://wuu.wikipedia.org/wiki/%E5%AF%92%E7%83%AD" title="寒热 – Wu" lang="wuu" hreflang="wuu" data-title="寒热" data-language-autonym="吴语" data-language-local-name="Wu" class="interlanguage-link-target"><span>吴语</span></a></li><li class="interlanguage-link interwiki-yi mw-list-item"><a href="https://yi.wikipedia.org/wiki/%D7%A4%D7%99%D7%91%D7%A2%D7%A8" title="פיבער – Yiddish" lang="yi" hreflang="yi" data-title="פיבער" data-language-autonym="ייִדיש" data-language-local-name="Yiddish" class="interlanguage-link-target"><span>ייִדיש</span></a></li><li class="interlanguage-link interwiki-yo mw-list-item"><a href="https://yo.wikipedia.org/wiki/Ib%C3%A0" title="Ibà – Yoruba" lang="yo" hreflang="yo" data-title="Ibà" data-language-autonym="Yorùbá" data-language-local-name="Yoruba" class="interlanguage-link-target"><span>Yorùbá</span></a></li><li class="interlanguage-link interwiki-zh-yue mw-list-item"><a href="https://zh-yue.wikipedia.org/wiki/%E7%99%BC%E7%87%92" title="發燒 – Cantonese" lang="yue" hreflang="yue" data-title="發燒" data-language-autonym="粵語" data-language-local-name="Cantonese" class="interlanguage-link-target"><span>粵語</span></a></li><li class="interlanguage-link interwiki-zh mw-list-item"><a href="https://zh.wikipedia.org/wiki/%E5%8F%91%E7%83%AD" title="发热 – Chinese" lang="zh" hreflang="zh" data-title="发热" data-language-autonym="中文" data-language-local-name="Chinese" class="interlanguage-link-target"><span>中文</span></a></li> </ul> <div class="after-portlet 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searchaux" style="display:none">Raised body temperature due to disease</div> <style data-mw-deduplicate="TemplateStyles:r1236090951">.mw-parser-output .hatnote{font-style:italic}.mw-parser-output div.hatnote{padding-left:1.6em;margin-bottom:0.5em}.mw-parser-output .hatnote i{font-style:normal}.mw-parser-output .hatnote+link+.hatnote{margin-top:-0.5em}@media print{body.ns-0 .mw-parser-output .hatnote{display:none!important}}</style><div role="note" class="hatnote navigation-not-searchable"><span>Not to be confused with <a href="/wiki/Hyperthermia" title="Hyperthermia">hyperthermia</a>.</span> <span>For other uses, see <a href="/wiki/Fever_(disambiguation)" class="mw-disambig" title="Fever (disambiguation)">Fever (disambiguation)</a>.</span></div> <p class="mw-empty-elt"> </p> <div class="shortdescription nomobile noexcerpt noprint searchaux" style="display:none">Medical condition</div><style data-mw-deduplicate="TemplateStyles:r1257001546">.mw-parser-output .infobox-subbox{padding:0;border:none;margin:-3px;width:auto;min-width:100%;font-size:100%;clear:none;float:none;background-color:transparent}.mw-parser-output .infobox-3cols-child{margin:auto}.mw-parser-output .infobox .navbar{font-size:100%}@media screen{html.skin-theme-clientpref-night .mw-parser-output .infobox-full-data:not(.notheme)>div:not(.notheme)[style]{background:#1f1f23!important;color:#f8f9fa}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .infobox-full-data:not(.notheme) div:not(.notheme){background:#1f1f23!important;color:#f8f9fa}}@media(min-width:640px){body.skin--responsive .mw-parser-output .infobox-table{display:table!important}body.skin--responsive .mw-parser-output .infobox-table>caption{display:table-caption!important}body.skin--responsive .mw-parser-output .infobox-table>tbody{display:table-row-group}body.skin--responsive .mw-parser-output .infobox-table tr{display:table-row!important}body.skin--responsive .mw-parser-output .infobox-table th,body.skin--responsive .mw-parser-output .infobox-table td{padding-left:inherit;padding-right:inherit}}</style><table class="infobox ib-medical-condition"><tbody><tr><th colspan="2" class="infobox-above" style="background:#ccc">Fever</th></tr><tr><th scope="row" class="infobox-label">Other names</th><td class="infobox-data">Pyrexia, febrile response, febrile<sup id="cite_ref-NC08_1-0" class="reference"><a href="#cite_note-NC08-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup></td></tr><tr style="background-color: #f8f9fa;"><td colspan="2" class="infobox-full-data"><span class="mw-default-size" typeof="mw:File/Frameless"><a href="/wiki/File:Symptoms-fever.jpg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/1/13/Symptoms-fever.jpg/220px-Symptoms-fever.jpg" decoding="async" width="220" height="285" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/1/13/Symptoms-fever.jpg/330px-Symptoms-fever.jpg 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/1/13/Symptoms-fever.jpg/440px-Symptoms-fever.jpg 2x" data-file-width="2550" data-file-height="3300" /></a></span></td></tr><tr><td colspan="2" class="infobox-full-data">Person with fever</td></tr><tr><th scope="row" class="infobox-label"><a href="/wiki/Medical_specialty" title="Medical specialty">Specialty</a></th><td class="infobox-data"><a href="/wiki/Infectious_disease_(medical_specialty)" class="mw-redirect" title="Infectious disease (medical specialty)">Infectious disease</a>, <a href="/wiki/Pediatrics" title="Pediatrics">pediatrics</a></td></tr><tr><th scope="row" class="infobox-label"><a href="/wiki/Signs_and_symptoms" title="Signs and symptoms">Symptoms</a></th><td class="infobox-data"><b>Initially</b>: <a href="/wiki/Shivering" title="Shivering">shivering</a>, feeling <a href="/wiki/Cold" title="Cold">cold</a>, <a href="/wiki/Chills" title="Chills">chills</a><sup id="cite_ref-Peds2011_2-0" class="reference"><a href="#cite_note-Peds2011-2"><span class="cite-bracket">[</span>2<span class="cite-bracket">]</span></a></sup><br /><b>Later</b>: <a href="/wiki/Flushed" class="mw-redirect" title="Flushed">flushed</a>, <a href="/wiki/Sweat" class="mw-redirect" title="Sweat">sweating</a><sup id="cite_ref-Sue2014_3-0" class="reference"><a href="#cite_note-Sue2014-3"><span class="cite-bracket">[</span>3<span class="cite-bracket">]</span></a></sup></td></tr><tr><th scope="row" class="infobox-label"><a href="/wiki/Complication_(medicine)" title="Complication (medicine)">Complications</a></th><td class="infobox-data"><a href="/wiki/Febrile_seizure" title="Febrile seizure">Febrile seizure</a><sup id="cite_ref-CDC2010_4-0" class="reference"><a href="#cite_note-CDC2010-4"><span class="cite-bracket">[</span>4<span class="cite-bracket">]</span></a></sup></td></tr><tr><th scope="row" class="infobox-label">Causes</th><td class="infobox-data"><a href="/wiki/Virus" title="Virus">Virus</a>, <a href="/wiki/Bacteria" title="Bacteria">bacteria</a>, increase in the body's temperature <a href="/wiki/Human_body_temperature#Fever" title="Human body temperature">set point</a><sup id="cite_ref-Kl2015_5-0" class="reference"><a href="#cite_note-Kl2015-5"><span class="cite-bracket">[</span>5<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-Gar2012p375_6-0" class="reference"><a href="#cite_note-Gar2012p375-6"><span class="cite-bracket">[</span>6<span class="cite-bracket">]</span></a></sup></td></tr><tr><th scope="row" class="infobox-label"><a href="/wiki/Medical_diagnosis" title="Medical diagnosis">Diagnostic method</a></th><td class="infobox-data">Temperature higher than the normal range of 37.2 and 38.3 °C (99.0 and 100.9 °F)<sup id="cite_ref-NC08_1-1" class="reference"><a href="#cite_note-NC08-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-Harrisons20th_7-0" class="reference"><a href="#cite_note-Harrisons20th-7"><span class="cite-bracket">[</span>7<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-CC09_8-0" class="reference"><a href="#cite_note-CC09-8"><span class="cite-bracket">[</span>8<span class="cite-bracket">]</span></a></sup></td></tr><tr><th scope="row" class="infobox-label"><a href="/wiki/Differential_diagnosis" title="Differential diagnosis">Differential diagnosis</a></th><td class="infobox-data"><a href="/wiki/Hyperthermia" title="Hyperthermia">Hyperthermia</a><sup id="cite_ref-NC08_1-2" class="reference"><a href="#cite_note-NC08-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup></td></tr><tr><th scope="row" class="infobox-label">Treatment</th><td class="infobox-data">Based on underlying cause, not required for fever itself<sup id="cite_ref-Peds2011_2-1" class="reference"><a href="#cite_note-Peds2011-2"><span class="cite-bracket">[</span>2<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-Ric2015_9-0" class="reference"><a href="#cite_note-Ric2015-9"><span class="cite-bracket">[</span>9<span class="cite-bracket">]</span></a></sup></td></tr><tr><th scope="row" class="infobox-label"><a href="/wiki/Medication" title="Medication">Medication</a></th><td class="infobox-data"><a href="/wiki/Ibuprofen" title="Ibuprofen">Ibuprofen</a>, <a href="/wiki/Paracetamol" title="Paracetamol">paracetamol</a> (acetaminophen)<sup id="cite_ref-Ric2015_9-1" class="reference"><a href="#cite_note-Ric2015-9"><span class="cite-bracket">[</span>9<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-Gar2012_10-0" class="reference"><a href="#cite_note-Gar2012-10"><span class="cite-bracket">[</span>10<span class="cite-bracket">]</span></a></sup></td></tr><tr><th scope="row" class="infobox-label">Frequency</th><td class="infobox-data">Common<sup id="cite_ref-Peds2011_2-2" class="reference"><a href="#cite_note-Peds2011-2"><span class="cite-bracket">[</span>2<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-Ki2013_11-0" class="reference"><a href="#cite_note-Ki2013-11"><span class="cite-bracket">[</span>11<span class="cite-bracket">]</span></a></sup></td></tr></tbody></table> <p><b>Fever</b> or <b>pyrexia</b> in humans is a symptom of organism's anti-infection defense mechanism that appears with <a href="/wiki/Human_body_temperature" title="Human body temperature">body temperature</a> exceeding the normal range due to an increase in the body's temperature <a href="/wiki/Human_body_temperature#Fever" title="Human body temperature">set point</a> in the <a href="/wiki/Hypothalamus" title="Hypothalamus">hypothalamus</a>.<sup id="cite_ref-Kl2015_5-1" class="reference"><a href="#cite_note-Kl2015-5"><span class="cite-bracket">[</span>5<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-Gar2012p375_6-1" class="reference"><a href="#cite_note-Gar2012p375-6"><span class="cite-bracket">[</span>6<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-12" class="reference"><a href="#cite_note-12"><span class="cite-bracket">[</span>12<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-Harrisons20th_7-1" class="reference"><a href="#cite_note-Harrisons20th-7"><span class="cite-bracket">[</span>7<span class="cite-bracket">]</span></a></sup> There is no single agreed-upon upper limit for normal temperature: sources use values ranging between 37.2 and 38.3 °C (99.0 and 100.9 °F) in humans.<sup id="cite_ref-NC08_1-3" class="reference"><a href="#cite_note-NC08-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-Harrisons20th_7-2" class="reference"><a href="#cite_note-Harrisons20th-7"><span class="cite-bracket">[</span>7<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-CC09_8-1" class="reference"><a href="#cite_note-CC09-8"><span class="cite-bracket">[</span>8<span class="cite-bracket">]</span></a></sup> </p><p>The increase in set point triggers increased <a href="/wiki/Muscle_tone" title="Muscle tone">muscle contractions</a> and causes a feeling of <a href="/wiki/Cold" title="Cold">cold</a> or <a href="/wiki/Chills" title="Chills">chills</a>.<sup id="cite_ref-Peds2011_2-3" class="reference"><a href="#cite_note-Peds2011-2"><span class="cite-bracket">[</span>2<span class="cite-bracket">]</span></a></sup> This results in greater heat production and efforts to conserve heat.<sup id="cite_ref-Sue2014_3-1" class="reference"><a href="#cite_note-Sue2014-3"><span class="cite-bracket">[</span>3<span class="cite-bracket">]</span></a></sup> When the set point temperature returns to normal, a person feels hot, becomes <a href="/wiki/Flushing_(physiology)" title="Flushing (physiology)">flushed</a>, and may begin to <a href="/wiki/Perspiration" title="Perspiration">sweat</a>.<sup id="cite_ref-Sue2014_3-2" class="reference"><a href="#cite_note-Sue2014-3"><span class="cite-bracket">[</span>3<span class="cite-bracket">]</span></a></sup> Rarely a fever may trigger a <a href="/wiki/Febrile_seizure" title="Febrile seizure">febrile seizure</a>, with this being more common in young children.<sup id="cite_ref-CDC2010_4-1" class="reference"><a href="#cite_note-CDC2010-4"><span class="cite-bracket">[</span>4<span class="cite-bracket">]</span></a></sup> Fevers do not typically go higher than 41 to 42 °C (106 to 108 °F).<sup id="cite_ref-Gar2012p375_6-2" class="reference"><a href="#cite_note-Gar2012p375-6"><span class="cite-bracket">[</span>6<span class="cite-bracket">]</span></a></sup> </p><p>A fever can be caused by many <a href="/wiki/Medical_conditions" class="mw-redirect" title="Medical conditions">medical conditions</a> ranging from non-serious to <a href="/wiki/Life-threatening" class="mw-redirect" title="Life-threatening">life-threatening</a>.<sup id="cite_ref-Gar2012p5_13-0" class="reference"><a href="#cite_note-Gar2012p5-13"><span class="cite-bracket">[</span>13<span class="cite-bracket">]</span></a></sup> This includes <a href="/wiki/Viral_infection" class="mw-redirect" title="Viral infection">viral</a>, <a href="/wiki/Bacterial_infection" class="mw-redirect" title="Bacterial infection">bacterial</a>, and <a href="/wiki/Parasitic_infections" class="mw-redirect" title="Parasitic infections">parasitic infections</a>—such as <a href="/wiki/Influenza" title="Influenza">influenza</a>, the <a href="/wiki/Common_cold" title="Common cold">common cold</a>, <a href="/wiki/Meningitis" title="Meningitis">meningitis</a>, <a href="/wiki/Urinary_tract_infections" class="mw-redirect" title="Urinary tract infections">urinary tract infections</a>, <a href="/wiki/Appendicitis" title="Appendicitis">appendicitis</a>, <a href="/wiki/Lassa_fever" title="Lassa fever">Lassa fever</a>, <a href="/wiki/COVID-19" title="COVID-19">COVID-19</a>, and <a href="/wiki/Malaria" title="Malaria">malaria</a>.<sup id="cite_ref-Gar2012p5_13-1" class="reference"><a href="#cite_note-Gar2012p5-13"><span class="cite-bracket">[</span>13<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-Rod2020_14-0" class="reference"><a href="#cite_note-Rod2020-14"><span class="cite-bracket">[</span>14<span class="cite-bracket">]</span></a></sup> Non-infectious causes include <a href="/wiki/Vasculitis" title="Vasculitis">vasculitis</a>, <a href="/wiki/Deep_vein_thrombosis" title="Deep vein thrombosis">deep vein thrombosis</a>, <a href="/wiki/Connective_tissue_disease" title="Connective tissue disease">connective tissue disease</a>, side effects of medication or vaccination, and <a href="/wiki/Cancer" title="Cancer">cancer</a>.<sup id="cite_ref-Gar2012p5_13-2" class="reference"><a href="#cite_note-Gar2012p5-13"><span class="cite-bracket">[</span>13<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-15" class="reference"><a href="#cite_note-15"><span class="cite-bracket">[</span>15<span class="cite-bracket">]</span></a></sup> It differs from <a href="/wiki/Hyperthermia" title="Hyperthermia">hyperthermia</a>, in that hyperthermia is an increase in body temperature over the temperature set point, due to either too much heat production or not enough <a href="/wiki/Thermoregulation" title="Thermoregulation">heat loss</a>.<sup id="cite_ref-NC08_1-4" class="reference"><a href="#cite_note-NC08-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup> </p><p>Treatment to reduce fever is generally not required.<sup id="cite_ref-Peds2011_2-4" class="reference"><a href="#cite_note-Peds2011-2"><span class="cite-bracket">[</span>2<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-Ric2015_9-2" class="reference"><a href="#cite_note-Ric2015-9"><span class="cite-bracket">[</span>9<span class="cite-bracket">]</span></a></sup> Treatment of associated pain and inflammation, however, may be useful and help a person rest.<sup id="cite_ref-Ric2015_9-3" class="reference"><a href="#cite_note-Ric2015-9"><span class="cite-bracket">[</span>9<span class="cite-bracket">]</span></a></sup> Medications such as <a href="/wiki/Ibuprofen" title="Ibuprofen">ibuprofen</a> or <a href="/wiki/Paracetamol" title="Paracetamol">paracetamol</a> (acetaminophen) may help with this as well as lower temperature.<sup id="cite_ref-Ric2015_9-4" class="reference"><a href="#cite_note-Ric2015-9"><span class="cite-bracket">[</span>9<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-Gar2012_10-1" class="reference"><a href="#cite_note-Gar2012-10"><span class="cite-bracket">[</span>10<span class="cite-bracket">]</span></a></sup> Children younger than three months require medical attention, as might people with serious medical problems such as a <a href="/wiki/Compromised_immune_system" class="mw-redirect" title="Compromised immune system">compromised immune system</a> or people with other symptoms.<sup id="cite_ref-16" class="reference"><a href="#cite_note-16"><span class="cite-bracket">[</span>16<span class="cite-bracket">]</span></a></sup> <a href="/wiki/Hyperthermia" title="Hyperthermia">Hyperthermia</a> requires treatment.<sup id="cite_ref-Peds2011_2-5" class="reference"><a href="#cite_note-Peds2011-2"><span class="cite-bracket">[</span>2<span class="cite-bracket">]</span></a></sup> </p><p>Fever is one of the most common <a href="/wiki/Medical_signs" class="mw-redirect" title="Medical signs">medical signs</a>.<sup id="cite_ref-Peds2011_2-6" class="reference"><a href="#cite_note-Peds2011-2"><span class="cite-bracket">[</span>2<span class="cite-bracket">]</span></a></sup> It is part of about 30% of healthcare visits by children<sup id="cite_ref-Peds2011_2-7" class="reference"><a href="#cite_note-Peds2011-2"><span class="cite-bracket">[</span>2<span class="cite-bracket">]</span></a></sup> and occurs in up to 75% of adults who are seriously sick.<sup id="cite_ref-Ki2013_11-1" class="reference"><a href="#cite_note-Ki2013-11"><span class="cite-bracket">[</span>11<span class="cite-bracket">]</span></a></sup> While fever evolved as a defense mechanism, <a href="/wiki/Antipyretic" title="Antipyretic">treating a fever</a> does not appear to improve or worsen outcomes.<sup id="cite_ref-Sch2006_17-0" class="reference"><a href="#cite_note-Sch2006-17"><span class="cite-bracket">[</span>17<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-Antipyretic_therapy_in_febrile_crit_18-0" class="reference"><a href="#cite_note-Antipyretic_therapy_in_febrile_crit-18"><span class="cite-bracket">[</span>18<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-:0_19-0" class="reference"><a href="#cite_note-:0-19"><span class="cite-bracket">[</span>19<span class="cite-bracket">]</span></a></sup> Fever is often viewed with greater concern by parents and healthcare professionals than is usually deserved, a phenomenon known as "fever phobia."<sup id="cite_ref-Peds2011_2-8" class="reference"><a href="#cite_note-Peds2011-2"><span class="cite-bracket">[</span>2<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-20" class="reference"><a href="#cite_note-20"><span class="cite-bracket">[</span>20<span class="cite-bracket">]</span></a></sup> </p> <style data-mw-deduplicate="TemplateStyles:r886046785">.mw-parser-output .toclimit-2 .toclevel-1 ul,.mw-parser-output .toclimit-3 .toclevel-2 ul,.mw-parser-output .toclimit-4 .toclevel-3 ul,.mw-parser-output .toclimit-5 .toclevel-4 ul,.mw-parser-output .toclimit-6 .toclevel-5 ul,.mw-parser-output .toclimit-7 .toclevel-6 ul{display:none}</style><div class="toclimit-3"><meta property="mw:PageProp/toc" /></div> <div class="mw-heading mw-heading2"><h2 id="Associated_symptoms">Associated symptoms</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Fever&action=edit&section=1" title="Edit section: Associated symptoms"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>A fever is usually accompanied by <a href="/wiki/Sickness_behavior" title="Sickness behavior">sickness behavior</a>, which consists of <a href="/wiki/Lethargy" title="Lethargy">lethargy</a>, <a href="/wiki/Depression_(mood)" title="Depression (mood)">depression</a>, <a href="/wiki/Anorexia_(symptom)" title="Anorexia (symptom)">loss of appetite</a>, <a href="/wiki/Sleepiness" class="mw-redirect" title="Sleepiness">sleepiness</a>, <a href="/wiki/Hyperalgesia" title="Hyperalgesia">hyperalgesia</a>, <a href="/wiki/Dehydration" title="Dehydration">dehydration</a>,<sup id="cite_ref-21" class="reference"><a href="#cite_note-21"><span class="cite-bracket">[</span>21<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-22" class="reference"><a href="#cite_note-22"><span class="cite-bracket">[</span>22<span class="cite-bracket">]</span></a></sup> and the inability to concentrate. Sleeping with a fever can often cause intense or confusing <a href="/wiki/Nightmare" title="Nightmare">nightmares</a>, commonly called "fever dreams".<sup id="cite_ref-23" class="reference"><a href="#cite_note-23"><span class="cite-bracket">[</span>23<span class="cite-bracket">]</span></a></sup> Mild to severe <a href="/wiki/Delirium" title="Delirium">delirium</a> (which can also cause <a href="/wiki/Hallucinations" class="mw-redirect" title="Hallucinations">hallucinations</a>) may also present itself during high fevers.<sup id="cite_ref-24" class="reference"><a href="#cite_note-24"><span class="cite-bracket">[</span>24<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Diagnosis">Diagnosis</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Fever&action=edit&section=2" title="Edit section: Diagnosis"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <style 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.sidebar-subgroup{width:100%;margin:0;border-spacing:0}.mw-parser-output .sidebar-left{float:left;clear:left;margin:0.5em 1em 1em 0}.mw-parser-output .sidebar-none{float:none;clear:both;margin:0.5em 1em 1em 0}.mw-parser-output .sidebar-outer-title{padding:0 0.4em 0.2em;font-size:125%;line-height:1.2em;font-weight:bold}.mw-parser-output .sidebar-top-image{padding:0.4em}.mw-parser-output .sidebar-top-caption,.mw-parser-output .sidebar-pretitle-with-top-image,.mw-parser-output .sidebar-caption{padding:0.2em 0.4em 0;line-height:1.2em}.mw-parser-output .sidebar-pretitle{padding:0.4em 0.4em 0;line-height:1.2em}.mw-parser-output .sidebar-title,.mw-parser-output .sidebar-title-with-pretitle{padding:0.2em 0.8em;font-size:145%;line-height:1.2em}.mw-parser-output .sidebar-title-with-pretitle{padding:0.1em 0.4em}.mw-parser-output .sidebar-image{padding:0.2em 0.4em 0.4em}.mw-parser-output .sidebar-heading{padding:0.1em 0.4em}.mw-parser-output .sidebar-content{padding:0 0.5em 0.4em}.mw-parser-output .sidebar-content-with-subgroup{padding:0.1em 0.4em 0.2em}.mw-parser-output .sidebar-above,.mw-parser-output .sidebar-below{padding:0.3em 0.8em;font-weight:bold}.mw-parser-output .sidebar-collapse .sidebar-above,.mw-parser-output .sidebar-collapse .sidebar-below{border-top:1px solid #aaa;border-bottom:1px solid #aaa}.mw-parser-output .sidebar-navbar{text-align:right;font-size:115%;padding:0 0.4em 0.4em}.mw-parser-output .sidebar-list-title{padding:0 0.4em;text-align:left;font-weight:bold;line-height:1.6em;font-size:105%}.mw-parser-output .sidebar-list-title-c{padding:0 0.4em;text-align:center;margin:0 3.3em}@media(max-width:640px){body.mediawiki .mw-parser-output .sidebar{width:100%!important;clear:both;float:none!important;margin-left:0!important;margin-right:0!important}}body.skin--responsive .mw-parser-output .sidebar a>img{max-width:none!important}@media screen{html.skin-theme-clientpref-night .mw-parser-output .sidebar:not(.notheme) .sidebar-list-title,html.skin-theme-clientpref-night .mw-parser-output .sidebar:not(.notheme) .sidebar-title-with-pretitle{background:transparent!important}html.skin-theme-clientpref-night .mw-parser-output .sidebar:not(.notheme) .sidebar-title-with-pretitle a{color:var(--color-progressive)!important}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .sidebar:not(.notheme) .sidebar-list-title,html.skin-theme-clientpref-os .mw-parser-output .sidebar:not(.notheme) .sidebar-title-with-pretitle{background:transparent!important}html.skin-theme-clientpref-os .mw-parser-output .sidebar:not(.notheme) .sidebar-title-with-pretitle a{color:var(--color-progressive)!important}}@media print{body.ns-0 .mw-parser-output .sidebar{display:none!important}}</style><table class="sidebar nomobile nowraplinks"><tbody><tr><td class="sidebar-above" style="background:#6666AA; color:#ffffff; font-size:125%;"> Temperature classification</td></tr><tr><td class="sidebar-content"> <table style="white-space:nowrap"><tbody><tr style="vertical-align:top"><td></td><td> <a href="/wiki/Core_temperature#Core_temperature" class="mw-redirect" title="Core temperature">Core</a> (rectal, esophageal, etc.)</td></tr><tr style="vertical-align:top"><td> <a href="/wiki/Hypothermia" title="Hypothermia">Hypothermia</a></td><td> <35.0 °C (95.0 °F)<sup id="cite_ref-Rosen_25-0" class="reference"><a href="#cite_note-Rosen-25"><span class="cite-bracket">[</span>25<span class="cite-bracket">]</span></a></sup></td></tr><tr style="vertical-align:top"><td> <a href="/wiki/Human_body_temperature" title="Human body temperature">Normal</a></td><td> 36.5–37.5 °C (97.7–99.5 °F)<sup id="cite_ref-pmid18788094_26-0" class="reference"><a href="#cite_note-pmid18788094-26"><span class="cite-bracket">[</span>26<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-27" class="reference"><a href="#cite_note-27"><span class="cite-bracket">[</span>27<span class="cite-bracket">]</span></a></sup></td></tr><tr style="vertical-align:top"><td> <a class="mw-selflink selflink">Fever</a></td><td> >37.5 or 38.3 °C (99.5 or 100.9 °F)<sup id="cite_ref-NC08_1-5" class="reference"><a href="#cite_note-NC08-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-CC09_8-2" class="reference"><a href="#cite_note-CC09-8"><span class="cite-bracket">[</span>8<span class="cite-bracket">]</span></a></sup></td></tr><tr style="vertical-align:top"><td> <a href="/wiki/Hyperthermia" title="Hyperthermia">Hyperthermia</a></td><td> >37.5 or 38.3 °C (99.5 or 100.9 °F)<sup id="cite_ref-NC08_1-6" class="reference"><a href="#cite_note-NC08-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-CC09_8-3" class="reference"><a href="#cite_note-CC09-8"><span class="cite-bracket">[</span>8<span class="cite-bracket">]</span></a></sup></td></tr><tr style="vertical-align:top"><td> <a class="mw-selflink-fragment" href="#Hyperpyrexia">Hyperpyrexia</a></td><td> >40.0 or 41.0 °C (104.0 or 105.8 °F)<sup id="cite_ref-28" class="reference"><a href="#cite_note-28"><span class="cite-bracket">[</span>28<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-29" class="reference"><a href="#cite_note-29"><span class="cite-bracket">[</span>29<span class="cite-bracket">]</span></a></sup></td></tr></tbody></table></td> </tr><tr><td class="sidebar-content"> Note: The difference between fever and hyperthermia is the underlying mechanism. Different sources have different cut-offs for fever, hyperthermia and hyperpyrexia.</td> </tr><tr><td class="sidebar-navbar"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1129693374"><style data-mw-deduplicate="TemplateStyles:r1239400231">.mw-parser-output .navbar{display:inline;font-size:88%;font-weight:normal}.mw-parser-output .navbar-collapse{float:left;text-align:left}.mw-parser-output .navbar-boxtext{word-spacing:0}.mw-parser-output .navbar ul{display:inline-block;white-space:nowrap;line-height:inherit}.mw-parser-output .navbar-brackets::before{margin-right:-0.125em;content:"[ "}.mw-parser-output .navbar-brackets::after{margin-left:-0.125em;content:" ]"}.mw-parser-output .navbar li{word-spacing:-0.125em}.mw-parser-output .navbar a>span,.mw-parser-output .navbar a>abbr{text-decoration:inherit}.mw-parser-output .navbar-mini abbr{font-variant:small-caps;border-bottom:none;text-decoration:none;cursor:inherit}.mw-parser-output .navbar-ct-full{font-size:114%;margin:0 7em}.mw-parser-output .navbar-ct-mini{font-size:114%;margin:0 4em}html.skin-theme-clientpref-night .mw-parser-output .navbar li a abbr{color:var(--color-base)!important}@media(prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .navbar li a abbr{color:var(--color-base)!important}}@media print{.mw-parser-output .navbar{display:none!important}}</style><div class="navbar plainlinks hlist navbar-mini"><ul><li class="nv-view"><a href="/wiki/Template:HumanTemperature" title="Template:HumanTemperature"><abbr title="View this template">v</abbr></a></li><li class="nv-talk"><a href="/wiki/Template_talk:HumanTemperature" title="Template talk:HumanTemperature"><abbr title="Discuss this template">t</abbr></a></li><li class="nv-edit"><a href="/wiki/Special:EditPage/Template:HumanTemperature" title="Special:EditPage/Template:HumanTemperature"><abbr title="Edit this template">e</abbr></a></li></ul></div></td></tr></tbody></table> <p>A range for <a href="/wiki/Normal_human_body_temperature" class="mw-redirect" title="Normal human body temperature">normal temperatures</a> has been found.<sup id="cite_ref-CC09_8-4" class="reference"><a href="#cite_note-CC09-8"><span class="cite-bracket">[</span>8<span class="cite-bracket">]</span></a></sup> Central temperatures, such as rectal temperatures, are more accurate than peripheral temperatures.<sup id="cite_ref-Niven2015_30-0" class="reference"><a href="#cite_note-Niven2015-30"><span class="cite-bracket">[</span>30<span class="cite-bracket">]</span></a></sup> Fever is generally agreed to be present if the elevated temperature<sup id="cite_ref-31" class="reference"><a href="#cite_note-31"><span class="cite-bracket">[</span>31<span class="cite-bracket">]</span></a></sup> is caused by a raised set point and: </p> <ul><li>Temperature in the <a href="/wiki/Human_anus" title="Human anus">anus</a> (rectum/rectal) is at or over 37.5–38.3 °C (99.5–100.9 °F).<sup id="cite_ref-NC08_1-7" class="reference"><a href="#cite_note-NC08-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-CC09_8-5" class="reference"><a href="#cite_note-CC09-8"><span class="cite-bracket">[</span>8<span class="cite-bracket">]</span></a></sup> An <a href="/wiki/Ear" title="Ear">ear</a> (tympanic) or <a href="/wiki/Forehead" title="Forehead">forehead</a> (temporal) temperature may also be used.<sup id="cite_ref-32" class="reference"><a href="#cite_note-32"><span class="cite-bracket">[</span>32<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-33" class="reference"><a href="#cite_note-33"><span class="cite-bracket">[</span>33<span class="cite-bracket">]</span></a></sup></li> <li>Temperature in the mouth (oral) is at or over 37.2 °C (99.0 °F) in the morning or over 37.7 °C (99.9 °F) in the afternoon<sup id="cite_ref-Harrisons20th_7-3" class="reference"><a href="#cite_note-Harrisons20th-7"><span class="cite-bracket">[</span>7<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-Reiew09_34-0" class="reference"><a href="#cite_note-Reiew09-34"><span class="cite-bracket">[</span>34<span class="cite-bracket">]</span></a></sup></li> <li>Temperature under the arm (axillary) is usually about 0.6 °C (1.1 °F) below core body temperature.<sup id="cite_ref-Pecoraro_Petri_Costantino_Squizzato_pp._1071–1083_35-0" class="reference"><a href="#cite_note-Pecoraro_Petri_Costantino_Squizzato_pp._1071–1083-35"><span class="cite-bracket">[</span>35<span class="cite-bracket">]</span></a></sup></li></ul> <p>In adults, the <a href="/wiki/Normal_human_body_temperature" class="mw-redirect" title="Normal human body temperature">normal range</a> of oral temperatures in healthy individuals is 35.7–37.7 °C (96.3–99.9 °F) among men and 33.2–38.1 °C (91.8–100.6 °F) among women, while when taken rectally it is 36.7–37.5 °C (98.1–99.5 °F) among men and 36.8–37.1 °C (98.2–98.8 °F) among women, and for <a href="/wiki/Tympanic_membrane" class="mw-redirect" title="Tympanic membrane">ear</a> measurement it is 35.5–37.5 °C (95.9–99.5 °F) among men and 35.7–37.5 °C (96.3–99.5 °F) among women.<sup id="cite_ref-pmid12000664_36-0" class="reference"><a href="#cite_note-pmid12000664-36"><span class="cite-bracket">[</span>36<span class="cite-bracket">]</span></a></sup> </p><p>Normal body temperatures vary depending on many factors, including age, sex, time of day, ambient temperature, activity level, and more.<sup id="cite_ref-Garami_37-0" class="reference"><a href="#cite_note-Garami-37"><span class="cite-bracket">[</span>37<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-38" class="reference"><a href="#cite_note-38"><span class="cite-bracket">[</span>38<span class="cite-bracket">]</span></a></sup> Normal daily temperature variation has been described as 0.5 °C (0.9 °F).<sup id="cite_ref-Harrisons20th_7-4" class="reference"><a href="#cite_note-Harrisons20th-7"><span class="cite-bracket">[</span>7<span class="cite-bracket">]</span></a></sup><sup class="reference nowrap"><span title="Page / location: 4012">: 4012 </span></sup> A raised temperature is not always a fever.<sup id="cite_ref-Garami_37-1" class="reference"><a href="#cite_note-Garami-37"><span class="cite-bracket">[</span>37<span class="cite-bracket">]</span></a></sup> For example, the temperature rises in healthy people when they exercise, but this is not considered a fever, as the set point is normal.<sup id="cite_ref-Garami_37-2" class="reference"><a href="#cite_note-Garami-37"><span class="cite-bracket">[</span>37<span class="cite-bracket">]</span></a></sup> On the other hand, a "normal" temperature may be a fever, if it is unusually high for that person; for example, <a href="/wiki/Medically_frail" class="mw-redirect" title="Medically frail">medically frail</a> elderly people have a decreased ability to generate body heat, so a "normal" temperature of 37.3 °C (99.1 °F) may represent a clinically significant fever.<sup id="cite_ref-Garami_37-3" class="reference"><a href="#cite_note-Garami-37"><span class="cite-bracket">[</span>37<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-39" class="reference"><a href="#cite_note-39"><span class="cite-bracket">[</span>39<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Hyperthermia">Hyperthermia</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Fever&action=edit&section=3" title="Edit section: Hyperthermia"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p><a href="/wiki/Hyperthermia" title="Hyperthermia">Hyperthermia</a> is an elevation of body temperature over the temperature set point, due to either too much heat production or not enough <a href="/wiki/Thermoregulation" title="Thermoregulation">heat loss</a>.<sup id="cite_ref-NC08_1-8" class="reference"><a href="#cite_note-NC08-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-Harrisons20th_7-5" class="reference"><a href="#cite_note-Harrisons20th-7"><span class="cite-bracket">[</span>7<span class="cite-bracket">]</span></a></sup> Hyperthermia is thus not considered fever.<sup id="cite_ref-Harrisons20th_7-6" class="reference"><a href="#cite_note-Harrisons20th-7"><span class="cite-bracket">[</span>7<span class="cite-bracket">]</span></a></sup><sup class="reference nowrap"><span title="Page / location: 103">: 103 </span></sup><sup id="cite_ref-40" class="reference"><a href="#cite_note-40"><span class="cite-bracket">[</span>40<span class="cite-bracket">]</span></a></sup> Hyperthermia should not be confused with <a href="/wiki/Hyperpyrexia" class="mw-redirect" title="Hyperpyrexia">hyperpyrexia</a> (which is a very high fever).<sup id="cite_ref-Harrisons20th_7-7" class="reference"><a href="#cite_note-Harrisons20th-7"><span class="cite-bracket">[</span>7<span class="cite-bracket">]</span></a></sup><sup class="reference nowrap"><span title="Page / location: 102">: 102 </span></sup> </p><p>Clinically, it is important to distinguish between fever and hyperthermia as hyperthermia may quickly lead to death and does not respond to antipyretic medications. The distinction may however be difficult to make in an emergency setting, and is often established by identifying possible causes.<sup id="cite_ref-Harrisons20th_7-8" class="reference"><a href="#cite_note-Harrisons20th-7"><span class="cite-bracket">[</span>7<span class="cite-bracket">]</span></a></sup><sup class="reference nowrap"><span title="Page / location: 103">: 103 </span></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Types">Types</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Fever&action=edit&section=4" title="Edit section: Types"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <figure class="mw-default-size" typeof="mw:File/Thumb"><a href="/wiki/File:Fever_Patterns_v1.2.svg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/7/75/Fever_Patterns_v1.2.svg/400px-Fever_Patterns_v1.2.svg.png" decoding="async" width="400" height="181" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/7/75/Fever_Patterns_v1.2.svg/600px-Fever_Patterns_v1.2.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/7/75/Fever_Patterns_v1.2.svg/800px-Fever_Patterns_v1.2.svg.png 2x" data-file-width="1199" data-file-height="543" /></a><figcaption>Different fever patterns observed in <i>Plasmodium</i> infections</figcaption></figure><p>Various patterns of measured patient temperatures have been observed, some of which may be indicative of a particular <a href="/wiki/Medical_diagnosis" title="Medical diagnosis">medical diagnosis</a>: </p><ul><li><a href="/wiki/Continuous_fever" title="Continuous fever">Continuous fever</a>, where temperature remains above normal and does not fluctuate more than <span class="nowrap"><span data-sort-value="7002274149999999999♠"></span>1 °C</span> in 24 hours<sup id="cite_ref-41" class="reference"><a href="#cite_note-41"><span class="cite-bracket">[</span>41<span class="cite-bracket">]</span></a></sup> (e.g. in <a href="/wiki/Bacterial_pneumonia" title="Bacterial pneumonia">bacterial pneumonia</a>, <a href="/wiki/Typhoid_fever" title="Typhoid fever">typhoid fever</a>, <a href="/wiki/Infective_endocarditis" title="Infective endocarditis">infective endocarditis</a>, <a href="/wiki/Tuberculosis" title="Tuberculosis">tuberculosis</a>, or <a href="/wiki/Typhus" title="Typhus">typhus</a>).<sup id="cite_ref-42" class="reference"><a href="#cite_note-42"><span class="cite-bracket">[</span>42<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-43" class="reference"><a href="#cite_note-43"><span class="cite-bracket">[</span>43<span class="cite-bracket">]</span></a></sup></li> <li><a href="/wiki/Intermittent_fever" title="Intermittent fever">Intermittent fever</a> is present only for a certain period, later cycling back to normal (e.g., in <a href="/wiki/Malaria" title="Malaria">malaria</a>, <a href="/wiki/Visceral_leishmaniasis" title="Visceral leishmaniasis">leishmaniasis</a>, <a href="/wiki/Pyemia" class="mw-redirect" title="Pyemia">pyemia</a>, <a href="/wiki/Sepsis" title="Sepsis">sepsis</a>,<sup id="cite_ref-44" class="reference"><a href="#cite_note-44"><span class="cite-bracket">[</span>44<span class="cite-bracket">]</span></a></sup> or <a href="/wiki/African_trypanosomiasis" title="African trypanosomiasis">African trypanosomiasis</a>).<sup id="cite_ref-45" class="reference"><a href="#cite_note-45"><span class="cite-bracket">[</span>45<span class="cite-bracket">]</span></a></sup></li> <li><a href="/wiki/Remittent_fever" title="Remittent fever">Remittent fever</a>, where the temperature remains above normal throughout the day and fluctuates more than <span class="nowrap"><span data-sort-value="7002274149999999999♠"></span>1 °C</span> in 24 hours (e.g., in <a href="/wiki/Infective_endocarditis" title="Infective endocarditis">infective endocarditis</a> or <a href="/wiki/Brucellosis" title="Brucellosis">brucellosis</a>).<sup id="cite_ref-46" class="reference"><a href="#cite_note-46"><span class="cite-bracket">[</span>46<span class="cite-bracket">]</span></a></sup></li> <li><a href="/wiki/Pel%E2%80%93Ebstein_fever" title="Pel–Ebstein fever">Pel–Ebstein fever</a> is a cyclic fever that is rarely seen in patients with <a href="/wiki/Hodgkin%27s_lymphoma" class="mw-redirect" title="Hodgkin's lymphoma">Hodgkin's lymphoma</a>.</li> <li>Undulant fever, seen in <a href="/wiki/Brucellosis" title="Brucellosis">brucellosis</a>.</li> <li><a href="/wiki/Typhoid_fever" title="Typhoid fever">Typhoid fever</a> is a <a href="/wiki/Continuous_fever" title="Continuous fever">continuous fever</a> showing a characteristic <i>step-ladder pattern,</i> a step-wise increase in temperature with a high plateau.<sup id="cite_ref-47" class="reference"><a href="#cite_note-47"><span class="cite-bracket">[</span>47<span class="cite-bracket">]</span></a></sup></li></ul> <p>Among the types of intermittent fever are ones specific to cases of malaria caused by different pathogens. These are:<sup id="cite_ref-Ferri_2009_48-0" class="reference"><a href="#cite_note-Ferri_2009-48"><span class="cite-bracket">[</span>48<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-49" class="reference"><a href="#cite_note-49"><span class="cite-bracket">[</span>49<span class="cite-bracket">]</span></a></sup> </p> <ul><li>Quotidian fever, with a 24-hour periodicity, typical of <a href="/wiki/Malaria" title="Malaria">malaria</a> caused by <i><a href="/wiki/Plasmodium_knowlesi" title="Plasmodium knowlesi">Plasmodium knowlesi</a></i> (<i>P. knowlesi</i>);<sup id="cite_ref-50" class="reference"><a href="#cite_note-50"><span class="cite-bracket">[</span>50<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-51" class="reference"><a href="#cite_note-51"><span class="cite-bracket">[</span>51<span class="cite-bracket">]</span></a></sup></li> <li><a href="/wiki/Tertian_fever" class="mw-redirect" title="Tertian fever">Tertian fever</a>, with a 48-hour periodicity, typical of later course <a href="/wiki/Malaria" title="Malaria">malaria</a> caused by <i><a href="/wiki/Plasmodium_falciparum" title="Plasmodium falciparum">P. falciparum</a></i>, <i><a href="/wiki/Plasmodium_vivax" title="Plasmodium vivax">P. vivax</a></i>, or <i><a href="/wiki/Plasmodium_ovale" title="Plasmodium ovale">P. ovale</a></i>;<sup id="cite_ref-Ferri_2009_48-1" class="reference"><a href="#cite_note-Ferri_2009-48"><span class="cite-bracket">[</span>48<span class="cite-bracket">]</span></a></sup></li> <li><a href="/wiki/Quartan_fever" title="Quartan fever">Quartan fever</a>, with a 72-hour periodicity, typical of later course <a href="/wiki/Malaria" title="Malaria">malaria</a> caused by <i><a href="/wiki/Plasmodium_malariae" title="Plasmodium malariae">P. malariae</a></i>.<sup id="cite_ref-Ferri_2009_48-2" class="reference"><a href="#cite_note-Ferri_2009-48"><span class="cite-bracket">[</span>48<span class="cite-bracket">]</span></a></sup></li></ul> <p>In addition, there is disagreement regarding whether a specific fever pattern is associated with <a href="/wiki/Hodgkin%27s_lymphoma" class="mw-redirect" title="Hodgkin's lymphoma">Hodgkin's lymphoma</a>—the <a href="/wiki/Pel%E2%80%93Ebstein_fever" title="Pel–Ebstein fever">Pel–Ebstein fever</a>, with patients argued to present high temperature for one week, followed by low for the next week, and so on, where the generality of this pattern is debated.<sup id="cite_ref-52" class="reference"><a href="#cite_note-52"><span class="cite-bracket">[</span>52<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-53" class="reference"><a href="#cite_note-53"><span class="cite-bracket">[</span>53<span class="cite-bracket">]</span></a></sup> </p><p>Persistent fever that cannot be explained after repeated routine clinical inquiries is called <a href="/wiki/Fever_of_unknown_origin" title="Fever of unknown origin">fever of unknown origin</a>.<sup id="cite_ref-Harrisons20th_7-9" class="reference"><a href="#cite_note-Harrisons20th-7"><span class="cite-bracket">[</span>7<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-54" class="reference"><a href="#cite_note-54"><span class="cite-bracket">[</span>54<span class="cite-bracket">]</span></a></sup> A <a href="/wiki/Neutropenic_fever" class="mw-redirect" title="Neutropenic fever">neutropenic fever</a>, also called febrile neutropenia, is a fever in the absence of normal immune system function.<sup id="cite_ref-Klastersky_2014_13–26_55-0" class="reference"><a href="#cite_note-Klastersky_2014_13–26-55"><span class="cite-bracket">[</span>55<span class="cite-bracket">]</span></a></sup> Because of the lack of infection-fighting <a href="/wiki/Neutrophil" title="Neutrophil">neutrophils</a>, a bacterial infection can spread rapidly; this fever is, therefore, usually considered to require urgent medical attention.<sup id="cite_ref-56" class="reference"><a href="#cite_note-56"><span class="cite-bracket">[</span>56<span class="cite-bracket">]</span></a></sup> This kind of fever is more commonly seen in people receiving immune-suppressing <a href="/wiki/Chemotherapy" title="Chemotherapy">chemotherapy</a> than in apparently healthy people.<sup id="cite_ref-Klastersky_2014_13–26_55-1" class="reference"><a href="#cite_note-Klastersky_2014_13–26-55"><span class="cite-bracket">[</span>55<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-57" class="reference"><a href="#cite_note-57"><span class="cite-bracket">[</span>57<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Hyperpyrexia">Hyperpyrexia</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Fever&action=edit&section=5" title="Edit section: Hyperpyrexia"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Hyperpyrexia is an extreme elevation of <a href="/wiki/Body_temperature" class="mw-redirect" title="Body temperature">body temperature</a> which, depending upon the source, is classified as a <a href="/wiki/Core_body_temperature" class="mw-redirect" title="Core body temperature">core body temperature</a> greater than or equal to 40 or 41 °C (104 or 106 °F); the range of hyperpyrexia includes cases considered severe (≥ 40 °C) and extreme (≥ 42 °C).<sup id="cite_ref-Harrisons20th_7-10" class="reference"><a href="#cite_note-Harrisons20th-7"><span class="cite-bracket">[</span>7<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-MDMA-Hyperpyrexia_systematic_review_58-0" class="reference"><a href="#cite_note-MDMA-Hyperpyrexia_systematic_review-58"><span class="cite-bracket">[</span>58<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-Neurobiology_of_hyperthermia_59-0" class="reference"><a href="#cite_note-Neurobiology_of_hyperthermia-59"><span class="cite-bracket">[</span>59<span class="cite-bracket">]</span></a></sup> It differs from <a href="/wiki/Hyperthermia" title="Hyperthermia">hyperthermia</a> in that one's <a href="/wiki/Human_thermoregulation#Thermoregulation_in_humans" title="Human thermoregulation">thermoregulatory system's set point</a> for body temperature is set above normal, then heat is generated to achieve it. In contrast, hyperthermia involves body temperature rising above its <a href="/wiki/Human_thermoregulation#Thermoregulation_in_humans" title="Human thermoregulation">set point</a> due to outside factors.<sup id="cite_ref-Harrisons20th_7-11" class="reference"><a href="#cite_note-Harrisons20th-7"><span class="cite-bracket">[</span>7<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-60" class="reference"><a href="#cite_note-60"><span class="cite-bracket">[</span>60<span class="cite-bracket">]</span></a></sup> The high temperatures of hyperpyrexia are considered <a href="/wiki/Medical_emergency" title="Medical emergency">medical emergencies</a>, as they may indicate a serious underlying condition or lead to severe morbidity (including permanent <a href="/wiki/Brain_damage" class="mw-redirect" title="Brain damage">brain damage</a>), or to death.<sup id="cite_ref-EM01_61-0" class="reference"><a href="#cite_note-EM01-61"><span class="cite-bracket">[</span>61<span class="cite-bracket">]</span></a></sup> A common cause of hyperpyrexia is an <a href="/wiki/Intracranial_hemorrhage" title="Intracranial hemorrhage">intracranial hemorrhage</a>.<sup id="cite_ref-Harrisons20th_7-12" class="reference"><a href="#cite_note-Harrisons20th-7"><span class="cite-bracket">[</span>7<span class="cite-bracket">]</span></a></sup> Other causes in emergency room settings include <a href="/wiki/Sepsis" title="Sepsis">sepsis</a>, <a href="/wiki/Kawasaki_syndrome" class="mw-redirect" title="Kawasaki syndrome">Kawasaki syndrome</a>,<sup id="cite_ref-Marx_2006_2506_62-0" class="reference"><a href="#cite_note-Marx_2006_2506-62"><span class="cite-bracket">[</span>62<span class="cite-bracket">]</span></a></sup> <a href="/wiki/Neuroleptic_malignant_syndrome" title="Neuroleptic malignant syndrome">neuroleptic malignant syndrome</a>, <a href="/wiki/Drug_overdose" title="Drug overdose">drug overdose</a>, <a href="/wiki/Serotonin_syndrome" title="Serotonin syndrome">serotonin syndrome</a>, and <a href="/wiki/Thyroid_storm" title="Thyroid storm">thyroid storm</a>.<sup id="cite_ref-EM01_61-1" class="reference"><a href="#cite_note-EM01-61"><span class="cite-bracket">[</span>61<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Differential_diagnosis">Differential diagnosis</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Fever&action=edit&section=6" title="Edit section: Differential diagnosis"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Fever is a common <a href="/wiki/Symptom" class="mw-redirect" title="Symptom">symptom</a> of many medical conditions: </p> <ul><li><a href="/wiki/Infectious_disease" class="mw-redirect" title="Infectious disease">Infectious disease</a>, e.g., <a href="/wiki/COVID-19" title="COVID-19">COVID-19</a>,<sup id="cite_ref-Rod2020_14-1" class="reference"><a href="#cite_note-Rod2020-14"><span class="cite-bracket">[</span>14<span class="cite-bracket">]</span></a></sup> <a href="/wiki/Dengue" class="mw-redirect" title="Dengue">dengue</a>, <a href="/wiki/Ebola_virus_disease" class="mw-redirect" title="Ebola virus disease">Ebola</a>, <a href="/wiki/Gastroenteritis" title="Gastroenteritis">gastroenteritis</a>, <a href="/wiki/HIV" title="HIV">HIV</a>, <a href="/wiki/Influenza" title="Influenza">influenza</a>, <a href="/wiki/Lyme_disease" title="Lyme disease">Lyme disease</a>, <a href="/wiki/Rocky_mountain_spotted_fever" class="mw-redirect" title="Rocky mountain spotted fever">rocky mountain spotted fever</a>, <a href="/wiki/Syphilis#Secondary" title="Syphilis">secondary syphilis</a>, <a href="/wiki/Malaria" title="Malaria">malaria</a>, <a href="/wiki/Infectious_mononucleosis" title="Infectious mononucleosis">mononucleosis</a>, as well as infections of the skin, e.g., <a href="/wiki/Abscess" title="Abscess">abscesses</a> and <a href="/wiki/Boils" class="mw-redirect" title="Boils">boils</a>.<sup id="cite_ref-63" class="reference"><a href="#cite_note-63"><span class="cite-bracket">[</span>63<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-64" class="reference"><a href="#cite_note-64"><span class="cite-bracket">[</span>64<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-65" class="reference"><a href="#cite_note-65"><span class="cite-bracket">[</span>65<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-66" class="reference"><a href="#cite_note-66"><span class="cite-bracket">[</span>66<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-67" class="reference"><a href="#cite_note-67"><span class="cite-bracket">[</span>67<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-68" class="reference"><a href="#cite_note-68"><span class="cite-bracket">[</span>68<span class="cite-bracket">]</span></a></sup></li> <li><a href="/wiki/Immunology" title="Immunology">Immunological</a> diseases, e.g., <a href="/wiki/Relapsing_polychondritis" title="Relapsing polychondritis">relapsing polychondritis</a>,<sup id="cite_ref-Puechal_2014_69-0" class="reference"><a href="#cite_note-Puechal_2014-69"><span class="cite-bracket">[</span>69<span class="cite-bracket">]</span></a></sup> <a href="/wiki/Autoimmune_hepatitis" title="Autoimmune hepatitis">autoimmune hepatitis</a>, <a href="/wiki/Granulomatosis_with_polyangiitis" title="Granulomatosis with polyangiitis">granulomatosis with polyangiitis</a>, <a href="/wiki/Horton_disease" class="mw-redirect" title="Horton disease">Horton disease</a>, <a href="/wiki/Inflammatory_bowel_disease" title="Inflammatory bowel disease">inflammatory bowel diseases</a>, <a href="/wiki/Kawasaki_disease" title="Kawasaki disease">Kawasaki disease</a>, <a href="/wiki/Lupus_erythematosus" title="Lupus erythematosus">lupus erythematosus</a>, <a href="/wiki/Sarcoidosis" title="Sarcoidosis">sarcoidosis</a>, <a href="/wiki/Adult-onset_Still%27s_disease" title="Adult-onset Still's disease">Still's disease</a>, <a href="/wiki/Rheumatoid_arthritis" title="Rheumatoid arthritis">rheumatoid arthritis</a>, <a href="/wiki/Lymphoproliferative_disorders" title="Lymphoproliferative disorders">lymphoproliferative disorders</a> and <a href="/wiki/Psoriasis" title="Psoriasis">psoriasis</a>;<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">[<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (April 2020)">citation needed</span></a></i>]</sup></li> <li>Tissue destruction, as a result of <a href="/wiki/Cerebral_hemorrhage" class="mw-redirect" title="Cerebral hemorrhage">cerebral bleeding</a>, <a href="/wiki/Crush_syndrome" title="Crush syndrome">crush syndrome</a>, <a href="/wiki/Hemolysis" title="Hemolysis">hemolysis</a>, <a href="/wiki/Infarction" title="Infarction">infarction</a>, <a href="/wiki/Rhabdomyolysis" title="Rhabdomyolysis">rhabdomyolysis</a>, <a href="/wiki/Surgery" title="Surgery">surgery</a>, etc.;<sup id="cite_ref-70" class="reference"><a href="#cite_note-70"><span class="cite-bracket">[</span>70<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-71" class="reference"><a href="#cite_note-71"><span class="cite-bracket">[</span>71<span class="cite-bracket">]</span></a></sup></li> <li><a href="/wiki/Cancer" title="Cancer">Cancers</a>, particularly blood cancers such as <a href="/wiki/Leukemia" title="Leukemia">leukemia</a> and <a href="/wiki/Lymphoma" title="Lymphoma">lymphomas</a>;<sup id="cite_ref-72" class="reference"><a href="#cite_note-72"><span class="cite-bracket">[</span>72<span class="cite-bracket">]</span></a></sup></li> <li><a href="/wiki/Metabolic_disorder" title="Metabolic disorder">Metabolic disorders</a>, e.g., <a href="/wiki/Gout" title="Gout">gout</a>, and <a href="/wiki/Porphyria" title="Porphyria">porphyria</a>;<sup id="cite_ref-73" class="reference"><a href="#cite_note-73"><span class="cite-bracket">[</span>73<span class="cite-bracket">]</span></a></sup> and<sup id="cite_ref-74" class="reference"><a href="#cite_note-74"><span class="cite-bracket">[</span>74<span class="cite-bracket">]</span></a></sup></li> <li>Inherited metabolic disorder, e.g., <a href="/wiki/Fabry_disease" title="Fabry disease">Fabry disease</a>.<sup id="cite_ref-Harrisons20th_7-13" class="reference"><a href="#cite_note-Harrisons20th-7"><span class="cite-bracket">[</span>7<span class="cite-bracket">]</span></a></sup></li></ul> <p>Adult and pediatric manifestations for the same disease may differ; for instance, in <a href="/wiki/COVID-19" title="COVID-19">COVID-19</a>, one metastudy describes 92.8% of adults versus 43.9% of children presenting with fever.<sup id="cite_ref-Rod2020_14-2" class="reference"><a href="#cite_note-Rod2020-14"><span class="cite-bracket">[</span>14<span class="cite-bracket">]</span></a></sup> </p><p>In addition, fever can result from a reaction to an incompatible blood product.<sup id="cite_ref-75" class="reference"><a href="#cite_note-75"><span class="cite-bracket">[</span>75<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Function">Function</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Fever&action=edit&section=7" title="Edit section: Function"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <figure class="mw-default-size" typeof="mw:File/Thumb"><a href="/wiki/File:Fever-conceptual.svg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/f/f7/Fever-conceptual.svg/350px-Fever-conceptual.svg.png" decoding="async" width="350" height="248" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/f/f7/Fever-conceptual.svg/525px-Fever-conceptual.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/f/f7/Fever-conceptual.svg/700px-Fever-conceptual.svg.png 2x" data-file-width="1052" data-file-height="744" /></a><figcaption>Hyperthermia: Characterized on the left. Normal body temperature (thermoregulatory set point) is shown in green, while the hyperthermic temperature is shown in red. As can be seen, hyperthermia can be conceptualized as an increase above the thermoregulatory set point.<br />Hypothermia: Characterized in the center: Normal body temperature is shown in green, while the hypothermic temperature is shown in blue. As can be seen, hypothermia can be conceptualized as a decrease below the thermoregulatory set point.<br />Fever: Characterized on the right: Normal body temperature is shown in green. It reads "New Normal" because the thermoregulatory set point has risen. This has caused what was the normal body temperature (in blue) to be considered hypothermic.</figcaption></figure> <div class="mw-heading mw-heading3"><h3 id="Immune_function">Immune function</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Fever&action=edit&section=8" title="Edit section: Immune function"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Fever is thought to contribute to host defense,<sup id="cite_ref-Sch2006_17-1" class="reference"><a href="#cite_note-Sch2006-17"><span class="cite-bracket">[</span>17<span class="cite-bracket">]</span></a></sup> as the reproduction of <a href="/wiki/Pathogen" title="Pathogen">pathogens</a> with strict temperature requirements can be hindered, and the rates of some important immunological reactions are increased by temperature.<sup id="cite_ref-Fischler_76-0" class="reference"><a href="#cite_note-Fischler-76"><span class="cite-bracket">[</span>76<span class="cite-bracket">]</span></a></sup> Fever has been described in teaching texts as assisting the healing process in various ways, including: </p> <dl><dd><ul><li>increased mobility of <a href="/wiki/Leukocytes" class="mw-redirect" title="Leukocytes">leukocytes</a>;<sup id="cite_ref-Craven2003_77-0" class="reference"><a href="#cite_note-Craven2003-77"><span class="cite-bracket">[</span>77<span class="cite-bracket">]</span></a></sup><sup class="reference nowrap"><span title="Page / location: 1044">: 1044 </span></sup></li> <li>enhanced leukocyte <a href="/wiki/Phagocytosis" title="Phagocytosis">phagocytosis</a>;<sup id="cite_ref-Craven2003_77-1" class="reference"><a href="#cite_note-Craven2003-77"><span class="cite-bracket">[</span>77<span class="cite-bracket">]</span></a></sup><sup class="reference nowrap"><span title="Page / location: 1030">: 1030 </span></sup></li> <li>decreased <a href="/wiki/Endotoxin" class="mw-redirect" title="Endotoxin">endotoxin</a> effects;<sup id="cite_ref-Craven2003_77-2" class="reference"><a href="#cite_note-Craven2003-77"><span class="cite-bracket">[</span>77<span class="cite-bracket">]</span></a></sup><sup class="reference nowrap"><span title="Page / location: 1029">: 1029 </span></sup> and</li> <li>increased <a href="/wiki/Cell_proliferation" title="Cell proliferation">proliferation</a> of <a href="/wiki/T_cells" class="mw-redirect" title="T cells">T cells</a>.<sup id="cite_ref-Craven2003_77-3" class="reference"><a href="#cite_note-Craven2003-77"><span class="cite-bracket">[</span>77<span class="cite-bracket">]</span></a></sup><sup class="reference nowrap"><span title="Page / location: 1030">: 1030 </span></sup><sup id="cite_ref-LewisDirksenHeitkemper2005_78-0" class="reference"><a href="#cite_note-LewisDirksenHeitkemper2005-78"><span class="cite-bracket">[</span>78<span class="cite-bracket">]</span></a></sup><sup class="reference nowrap"><span title="Page / location: 212">: 212 </span></sup></li></ul></dd></dl> <div class="mw-heading mw-heading3"><h3 id="Advantages_and_disadvantages">Advantages and disadvantages</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Fever&action=edit&section=9" title="Edit section: Advantages and disadvantages"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>A fever response to an infectious disease is generally regarded as protective, whereas fever in non-infections may be maladaptive.<sup id="cite_ref-kiek_79-0" class="reference"><a href="#cite_note-kiek-79"><span class="cite-bracket">[</span>79<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-pmid9917881_80-0" class="reference"><a href="#cite_note-pmid9917881-80"><span class="cite-bracket">[</span>80<span class="cite-bracket">]</span></a></sup> Studies have not been consistent on whether treating fever generally worsens or improves mortality risk.<sup id="cite_ref-SepticReview2017_81-0" class="reference"><a href="#cite_note-SepticReview2017-81"><span class="cite-bracket">[</span>81<span class="cite-bracket">]</span></a></sup> Benefits or harms may depend on the type of infection, health status of the patient and other factors.<sup id="cite_ref-kiek_79-1" class="reference"><a href="#cite_note-kiek-79"><span class="cite-bracket">[</span>79<span class="cite-bracket">]</span></a></sup> Studies using <a href="/wiki/Warm-blooded" title="Warm-blooded">warm-blooded</a> <a href="/wiki/Vertebrates" class="mw-redirect" title="Vertebrates">vertebrates</a> suggest that they recover more rapidly from infections or critical illness due to fever.<sup id="cite_ref-VUB_82-0" class="reference"><a href="#cite_note-VUB-82"><span class="cite-bracket">[</span>82<span class="cite-bracket">]</span></a></sup> In <a href="/wiki/Sepsis" title="Sepsis">sepsis</a>, fever is associated with reduced mortality.<sup id="cite_ref-83" class="reference"><a href="#cite_note-83"><span class="cite-bracket">[</span>83<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Pathophysiology_of_fever_induction">Pathophysiology of fever induction</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Fever&action=edit&section=10" title="Edit section: Pathophysiology of fever induction"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1236090951"><div role="note" class="hatnote navigation-not-searchable">See also: <a href="/wiki/Thermoregulation_in_humans" class="mw-redirect" title="Thermoregulation in humans">Thermoregulation in humans</a></div> <div class="mw-heading mw-heading3"><h3 id="Hypothalamus">Hypothalamus</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Fever&action=edit&section=11" title="Edit section: Hypothalamus"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Temperature is regulated in the <a href="/wiki/Hypothalamus" title="Hypothalamus">hypothalamus</a>. The trigger of a fever, called a pyrogen, results in the release of <a href="/wiki/Prostaglandin_E2" title="Prostaglandin E2">prostaglandin E2</a> (PGE2). PGE2 in turn acts on the hypothalamus, which creates a systemic response in the body, causing heat-generating effects to match a new higher temperature set point. There are four receptors in which PGE2 can bind (EP1-4), with a previous study showing the EP3 subtype is what mediates the fever response.<sup id="cite_ref-84" class="reference"><a href="#cite_note-84"><span class="cite-bracket">[</span>84<span class="cite-bracket">]</span></a></sup> Hence, the hypothalamus can be seen as working like a <a href="/wiki/Thermostat" title="Thermostat">thermostat</a>.<sup id="cite_ref-Harrisons20th_7-14" class="reference"><a href="#cite_note-Harrisons20th-7"><span class="cite-bracket">[</span>7<span class="cite-bracket">]</span></a></sup> When the set point is raised, the body increases its temperature through both active generation of heat and retention of heat. Peripheral <a href="/wiki/Vasoconstriction" title="Vasoconstriction">vasoconstriction</a> both reduces heat loss through the skin and causes the person to feel cold. <a href="/wiki/Norepinephrine" title="Norepinephrine">Norepinephrine</a> increases <a href="/wiki/Thermogenesis" title="Thermogenesis">thermogenesis</a> in <a href="/wiki/Brown_adipose_tissue" title="Brown adipose tissue">brown adipose tissue</a>, and muscle contraction through shivering raises the <a href="/wiki/Basal_metabolic_rate" title="Basal metabolic rate">metabolic rate</a>.<sup id="cite_ref-pmid25976513_85-0" class="reference"><a href="#cite_note-pmid25976513-85"><span class="cite-bracket">[</span>85<span class="cite-bracket">]</span></a></sup> </p><p>If these measures are insufficient to make the blood temperature in the brain match the new set point in the hypothalamus, the brain orchestrates heat effector mechanisms via the <a href="/wiki/Autonomic_nervous_system" title="Autonomic nervous system">autonomic nervous system</a> or primary motor center for shivering. These may be:<sup id="cite_ref-86" class="reference"><a href="#cite_note-86"><span class="cite-bracket">[</span>86<span class="cite-bracket">]</span></a></sup> </p> <ul><li>Increased heat production by increased <a href="/wiki/Muscle_tone" title="Muscle tone">muscle tone</a>, <a href="/wiki/Shivering" title="Shivering">shivering</a> (muscle movements to produce heat) and release of hormones like <a href="/wiki/Epinephrine" class="mw-redirect" title="Epinephrine">epinephrine</a>; and</li> <li>Prevention of heat loss, e.g., through <a href="/wiki/Vasoconstriction" title="Vasoconstriction">vasoconstriction</a>.</li></ul> <p>When the hypothalamic set point moves back to baseline—either spontaneously or via medication—normal functions such as sweating, and the reverse of the foregoing processes (e.g., vasodilation, end of shivering, and nonshivering heat production) are used to cool the body to the new, lower setting.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">[<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (April 2020)">citation needed</span></a></i>]</sup> </p><p>This contrasts with <a href="/wiki/Hyperthermia" title="Hyperthermia">hyperthermia</a>, in which the normal setting remains, and the body overheats through undesirable retention of excess heat or over-production of heat. Hyperthermia is usually the result of an excessively hot environment (<a href="/wiki/Heat_stroke" title="Heat stroke">heat stroke</a>) or an adverse reaction to drugs. Fever can be differentiated from hyperthermia by the circumstances surrounding it and its response to <a href="/wiki/Anti-pyretic" class="mw-redirect" title="Anti-pyretic">anti-pyretic</a> medications.<sup id="cite_ref-Harrisons20th_7-15" class="reference"><a href="#cite_note-Harrisons20th-7"><span class="cite-bracket">[</span>7<span class="cite-bracket">]</span></a></sup><sup class="noprint Inline-Template" style="white-space:nowrap;">[<i><a href="/wiki/Wikipedia:Verifiability" title="Wikipedia:Verifiability"><span title="The material near this tag needs to be fact-checked with the cited source(s). (April 2020)">verification needed</span></a></i>]</sup> </p><p>In infants, the autonomic nervous system may also activate <a href="/wiki/Brown_adipose_tissue" title="Brown adipose tissue">brown adipose tissue</a> to produce heat (non-shivering thermogenesis).<sup id="cite_ref-87" class="reference"><a href="#cite_note-87"><span class="cite-bracket">[</span>87<span class="cite-bracket">]</span></a></sup> </p><p>Increased heart rate and vasoconstriction contribute to increased <a href="/wiki/Blood_pressure" title="Blood pressure">blood pressure</a> in fever.<sup id="cite_ref-88" class="reference"><a href="#cite_note-88"><span class="cite-bracket">[</span>88<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Pyrogens">Pyrogens</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Fever&action=edit&section=12" title="Edit section: Pyrogens"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>A pyrogen is a substance that induces fever.<sup id="cite_ref-89" class="reference"><a href="#cite_note-89"><span class="cite-bracket">[</span>89<span class="cite-bracket">]</span></a></sup> In the presence of an infectious agent, such as bacteria, viruses, viroids, <i>etc</i>., the immune response of the body is to inhibit their growth and eliminate them. The most common pyrogens are endotoxins, which are <a href="/wiki/Lipopolysaccharide" title="Lipopolysaccharide">lipopolysaccharides</a> (LPS) produced by <a href="/wiki/Gram-negative_bacteria" title="Gram-negative bacteria">Gram-negative bacteria</a> such as <i><a href="/wiki/Escherichia_coli" title="Escherichia coli">E. coli</a>.</i> But pyrogens include non-endotoxic substances (derived from microorganisms other than gram-negative-bacteria or from chemical substances) as well.<sup id="cite_ref-90" class="reference"><a href="#cite_note-90"><span class="cite-bracket">[</span>90<span class="cite-bracket">]</span></a></sup> The types of pyrogens include internal (endogenous) and external (exogenous) to the body.<sup id="cite_ref-91" class="reference"><a href="#cite_note-91"><span class="cite-bracket">[</span>91<span class="cite-bracket">]</span></a></sup> </p><p>The "pyrogenicity" of given pyrogens varies: in extreme cases, bacterial pyrogens can act as <a href="/wiki/Superantigens" class="mw-redirect" title="Superantigens">superantigens</a> and cause rapid and dangerous fevers.<sup id="cite_ref-92" class="reference"><a href="#cite_note-92"><span class="cite-bracket">[</span>92<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading4"><h4 id="Endogenous">Endogenous</h4><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Fever&action=edit&section=13" title="Edit section: Endogenous"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Endogenous pyrogens are <a href="/wiki/Cytokine" title="Cytokine">cytokines</a> released from <a href="/wiki/Monocyte" title="Monocyte">monocytes</a> (which are part of the <a href="/wiki/Immune_system" title="Immune system">immune system</a>).<sup id="cite_ref-93" class="reference"><a href="#cite_note-93"><span class="cite-bracket">[</span>93<span class="cite-bracket">]</span></a></sup> In general, they stimulate chemical responses, often in the presence of an <a href="/wiki/Antigen" title="Antigen">antigen</a>, leading to a fever. Whilst they can be a product of external factors like exogenous pyrogens, they can also be induced by internal factors like <a href="/wiki/Damage_associated_molecular_pattern" class="mw-redirect" title="Damage associated molecular pattern">damage associated molecular patterns</a> such as cases like <a href="/wiki/Rheumatoid_arthritis" title="Rheumatoid arthritis">rheumatoid arthritis</a> or lupus.<sup id="cite_ref-94" class="reference"><a href="#cite_note-94"><span class="cite-bracket">[</span>94<span class="cite-bracket">]</span></a></sup> </p><p>Major endogenous pyrogens are <a href="/wiki/Interleukin_1" class="mw-redirect" title="Interleukin 1">interleukin 1</a> (α and β)<sup id="cite_ref-boron-58_95-0" class="reference"><a href="#cite_note-boron-58-95"><span class="cite-bracket">[</span>95<span class="cite-bracket">]</span></a></sup><sup class="reference nowrap"><span title="Page / location: 1237–1248">: 1237–1248 </span></sup> and <a href="/wiki/Interleukin_6" title="Interleukin 6">interleukin 6</a> (IL-6).<sup id="cite_ref-96" class="reference"><a href="#cite_note-96"><span class="cite-bracket">[</span>96<span class="cite-bracket">]</span></a></sup> Minor endogenous pyrogens include <a href="/wiki/Interleukin-8" class="mw-redirect" title="Interleukin-8">interleukin-8</a>, <a href="/wiki/Lymphotoxin_alpha" title="Lymphotoxin alpha">tumor necrosis factor-β</a>, <a href="/wiki/Macrophage_inflammatory_protein" title="Macrophage inflammatory protein">macrophage inflammatory protein</a>-α and macrophage inflammatory protein-β as well as <a href="/wiki/Interferon-%CE%B1" class="mw-redirect" title="Interferon-α">interferon-α</a>, <a href="/wiki/IFN-%CE%B2" class="mw-redirect" title="IFN-β">interferon-β</a>, and <a href="/wiki/Interferon-gamma" class="mw-redirect" title="Interferon-gamma">interferon-γ</a>.<sup id="cite_ref-boron-58_95-1" class="reference"><a href="#cite_note-boron-58-95"><span class="cite-bracket">[</span>95<span class="cite-bracket">]</span></a></sup><sup class="reference nowrap"><span title="Page / location: 1237–1248">: 1237–1248 </span></sup> <a href="/wiki/Tumor_necrosis_factor-%CE%B1" class="mw-redirect" title="Tumor necrosis factor-α">Tumor necrosis factor-α</a> (TNF) also acts as a pyrogen, mediated by <a href="/wiki/Interleukin_1" class="mw-redirect" title="Interleukin 1">interleukin 1</a> (IL-1) release.<sup id="cite_ref-97" class="reference"><a href="#cite_note-97"><span class="cite-bracket">[</span>97<span class="cite-bracket">]</span></a></sup> These cytokine factors are released into general circulation, where they migrate to the brain's <a href="/wiki/Circumventricular_organ" class="mw-redirect" title="Circumventricular organ">circumventricular organs</a> where they are more easily absorbed than in areas protected by the <a href="/wiki/Blood%E2%80%93brain_barrier" title="Blood–brain barrier">blood–brain barrier</a>.<sup id="cite_ref-98" class="reference"><a href="#cite_note-98"><span class="cite-bracket">[</span>98<span class="cite-bracket">]</span></a></sup> The cytokines then bind to <a href="/wiki/Endothelium" title="Endothelium">endothelial receptors</a> on vessel walls to receptors on <a href="/wiki/Microglial_cell" class="mw-redirect" title="Microglial cell">microglial cells</a>, resulting in activation of the <a href="/wiki/Arachidonic_acid_pathway" class="mw-redirect" title="Arachidonic acid pathway">arachidonic acid pathway</a>.<sup id="cite_ref-99" class="reference"><a href="#cite_note-99"><span class="cite-bracket">[</span>99<span class="cite-bracket">]</span></a></sup> </p><p>Of these, IL-1β, TNF, and IL-6 are able to raise the temperature setpoint of an organism and cause fever. These proteins produce a <a href="/wiki/Cyclooxygenase" title="Cyclooxygenase">cyclooxygenase</a> which induces the hypothalamic production of PGE2 which then stimulates the release of neurotransmitters such as <a href="/wiki/Cyclic_adenosine_monophosphate" title="Cyclic adenosine monophosphate">cyclic adenosine monophosphate</a> and increases body temperature.<sup id="cite_ref-100" class="reference"><a href="#cite_note-100"><span class="cite-bracket">[</span>100<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading4"><h4 id="Exogenous">Exogenous</h4><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Fever&action=edit&section=14" title="Edit section: Exogenous"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Exogenous pyrogens are external to the body and are of microbial origin. In general, these pyrogens, including bacterial cell wall products, may act on Toll-like receptors in the hypothalamus and elevate the thermoregulatory setpoint.<sup id="cite_ref-101" class="reference"><a href="#cite_note-101"><span class="cite-bracket">[</span>101<span class="cite-bracket">]</span></a></sup> </p><p>An example of a class of exogenous pyrogens are bacterial <a href="/wiki/Lipopolysaccharide" title="Lipopolysaccharide">lipopolysaccharides</a> (LPS) present in the cell wall of <a href="/wiki/Gram-negative_bacteria" title="Gram-negative bacteria">gram-negative bacteria</a>. According to one mechanism of pyrogen action, an immune system protein, <a href="/wiki/Lipopolysaccharide-binding_protein" class="mw-redirect" title="Lipopolysaccharide-binding protein">lipopolysaccharide-binding protein</a> (LBP), binds to LPS, and the LBP–LPS complex then binds to a <a href="/wiki/CD14" title="CD14">CD14</a> receptor on a <a href="/wiki/Macrophage" title="Macrophage">macrophage</a>. The LBP-LPS binding to CD14 results in cellular synthesis and release of various endogenous <a href="/wiki/Cytokine" title="Cytokine">cytokines</a>, e.g., interleukin 1 (IL-1), interleukin 6 (IL-6), and tumor necrosis factor-alpha (TNFα). A further downstream event is activation of the <a href="/wiki/Arachidonic_acid_pathway" class="mw-redirect" title="Arachidonic acid pathway">arachidonic acid pathway</a>.<sup id="cite_ref-102" class="reference"><a href="#cite_note-102"><span class="cite-bracket">[</span>102<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="PGE2_release">PGE2 release</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Fever&action=edit&section=15" title="Edit section: PGE2 release"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>PGE2 release comes from the <a href="/wiki/Arachidonic_acid" title="Arachidonic acid">arachidonic acid</a> pathway. This pathway (as it relates to fever), is mediated by the <a href="/wiki/Enzyme" title="Enzyme">enzymes</a> <a href="/wiki/Phospholipase" title="Phospholipase">phospholipase A2</a> (PLA2), <a href="/wiki/Cyclooxygenase" title="Cyclooxygenase">cyclooxygenase-2</a> (COX-2), and <a href="/wiki/Prostaglandin_E2_synthase" class="mw-redirect" title="Prostaglandin E2 synthase">prostaglandin E2 synthase</a>. These enzymes ultimately mediate the synthesis and release of PGE2.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">[<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (December 2020)">citation needed</span></a></i>]</sup> </p><p>PGE2 is the ultimate mediator of the febrile response. The setpoint temperature of the body will remain elevated until PGE2 is no longer present. PGE2 acts on neurons in the <a href="/wiki/Preoptic_area" title="Preoptic area">preoptic area</a> (POA) through the <a href="/wiki/Prostaglandin_E_receptor_3" class="mw-redirect" title="Prostaglandin E receptor 3">prostaglandin E receptor 3</a> (EP3). EP3-expressing neurons in the POA innervate the <a href="/wiki/Dorsomedial_hypothalamus" class="mw-redirect" title="Dorsomedial hypothalamus">dorsomedial hypothalamus</a> (DMH), the rostral <a href="/wiki/Raphe" title="Raphe">raphe</a> pallidus nucleus in the <a href="/wiki/Medulla_oblongata" title="Medulla oblongata">medulla oblongata</a> (rRPa), and the <a href="/wiki/Paraventricular_nucleus" class="mw-redirect" title="Paraventricular nucleus">paraventricular nucleus</a> (PVN) of the hypothalamus. Fever signals sent to the DMH and rRPa lead to stimulation of the <a href="/wiki/Sympathetic_nervous_system" title="Sympathetic nervous system">sympathetic</a> output system, which evokes non-shivering thermogenesis to produce body heat and skin vasoconstriction to decrease heat loss from the body surface. It is presumed that the innervation from the POA to the PVN mediates the neuroendocrine effects of fever through the pathway involving <a href="/wiki/Pituitary_gland" title="Pituitary gland">pituitary gland</a> and various <a href="/wiki/Endocrine_organs" class="mw-redirect" title="Endocrine organs">endocrine organs</a>.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">[<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (December 2020)">citation needed</span></a></i>]</sup> </p> <div class="mw-heading mw-heading2"><h2 id="Management">Management</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Fever&action=edit&section=16" title="Edit section: Management"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Fever does not necessarily need to be treated,<sup id="cite_ref-103" class="reference"><a href="#cite_note-103"><span class="cite-bracket">[</span>103<span class="cite-bracket">]</span></a></sup> and most people with a fever recover without specific medical attention.<sup id="cite_ref-CDC_symptoms_104-0" class="reference"><a href="#cite_note-CDC_symptoms-104"><span class="cite-bracket">[</span>104<span class="cite-bracket">]</span></a></sup> Although it is unpleasant, fever rarely rises to a dangerous level even if untreated.<sup id="cite_ref-105" class="reference"><a href="#cite_note-105"><span class="cite-bracket">[</span>105<span class="cite-bracket">]</span></a></sup> Damage to the brain generally does not occur until temperatures reach 42.0 °C (107.6 °F), and it is rare for an untreated fever to exceed 40.6 °C (105.1 °F).<sup id="cite_ref-revben_106-0" class="reference"><a href="#cite_note-revben-106"><span class="cite-bracket">[</span>106<span class="cite-bracket">]</span></a></sup> Treating fever in people with <a href="/wiki/Sepsis" title="Sepsis">sepsis</a> does not affect outcomes.<sup id="cite_ref-107" class="reference"><a href="#cite_note-107"><span class="cite-bracket">[</span>107<span class="cite-bracket">]</span></a></sup> Small trials have shown no benefit of treating fevers of 38.5 °C (101.3 °F) or higher of critically ill patients in ICUs, and one trial was terminated early because patients receiving aggressive fever treatment were dying more often.<sup id="cite_ref-:0_19-1" class="reference"><a href="#cite_note-:0-19"><span class="cite-bracket">[</span>19<span class="cite-bracket">]</span></a></sup> </p><p>According to the NIH, the two assumptions which are generally used to argue in favor of treating fevers have not been experimentally validated. These are that (1) a fever is noxious, and (2) suppression of a fever will reduce its noxious effect. Most of the other studies supporting the association of fever with poorer outcomes have been observational in nature. In theory, these critically ill patients and those faced with additional physiologic stress may benefit from fever reduction, but the evidence on both sides of the argument appears to be mostly equivocal.<sup id="cite_ref-:0_19-2" class="reference"><a href="#cite_note-:0-19"><span class="cite-bracket">[</span>19<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Conservative_measures">Conservative measures</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Fever&action=edit&section=17" title="Edit section: Conservative measures"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Limited evidence supports sponging or bathing feverish children with tepid water.<sup id="cite_ref-108" class="reference"><a href="#cite_note-108"><span class="cite-bracket">[</span>108<span class="cite-bracket">]</span></a></sup> The use of a <a href="/wiki/Mechanical_fan" class="mw-redirect" title="Mechanical fan">fan</a> or air conditioning may somewhat reduce the temperature and increase comfort. If the temperature reaches the extremely high level of <a href="/wiki/Hyperpyrexia" class="mw-redirect" title="Hyperpyrexia">hyperpyrexia</a>, aggressive cooling is required (generally produced mechanically via <a href="/wiki/Conduction_(heat)" class="mw-redirect" title="Conduction (heat)">conduction</a> by applying numerous ice packs across most of the body or direct submersion in <a href="/wiki/Ice_bath" title="Ice bath">ice water</a>).<sup id="cite_ref-EM01_61-2" class="reference"><a href="#cite_note-EM01-61"><span class="cite-bracket">[</span>61<span class="cite-bracket">]</span></a></sup> In general, people are advised to keep adequately hydrated.<sup id="cite_ref-109" class="reference"><a href="#cite_note-109"><span class="cite-bracket">[</span>109<span class="cite-bracket">]</span></a></sup> Whether increased fluid intake improves symptoms or shortens respiratory illnesses such as the <a href="/wiki/Common_cold" title="Common cold">common cold</a> is not known.<sup id="cite_ref-pmid21328268_110-0" class="reference"><a href="#cite_note-pmid21328268-110"><span class="cite-bracket">[</span>110<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Medications">Medications</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Fever&action=edit&section=18" title="Edit section: Medications"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Medications that lower fevers are called <i><a href="/wiki/Antipyretic" title="Antipyretic">antipyretics</a></i>.<sup id="cite_ref-111" class="reference"><a href="#cite_note-111"><span class="cite-bracket">[</span>111<span class="cite-bracket">]</span></a></sup> The antipyretic <a href="/wiki/Ibuprofen" title="Ibuprofen">ibuprofen</a> is effective in reducing fevers in children.<sup id="cite_ref-Per2004_112-0" class="reference"><a href="#cite_note-Per2004-112"><span class="cite-bracket">[</span>112<span class="cite-bracket">]</span></a></sup> It is more effective than <a href="/wiki/Acetaminophen" class="mw-redirect" title="Acetaminophen">acetaminophen</a> (paracetamol) in children.<sup id="cite_ref-Per2004_112-1" class="reference"><a href="#cite_note-Per2004-112"><span class="cite-bracket">[</span>112<span class="cite-bracket">]</span></a></sup> Ibuprofen and acetaminophen may be safely used together in children with fevers.<sup id="cite_ref-pmid19454182_113-0" class="reference"><a href="#cite_note-pmid19454182-113"><span class="cite-bracket">[</span>113<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-pmid19606950_114-0" class="reference"><a href="#cite_note-pmid19606950-114"><span class="cite-bracket">[</span>114<span class="cite-bracket">]</span></a></sup> The efficacy of acetaminophen by itself in children with fevers has been questioned.<sup id="cite_ref-pmid12076499_115-0" class="reference"><a href="#cite_note-pmid12076499-115"><span class="cite-bracket">[</span>115<span class="cite-bracket">]</span></a></sup> Ibuprofen is also superior to <a href="/wiki/Aspirin" title="Aspirin">aspirin</a> in children with fevers.<sup id="cite_ref-pmid9049576_116-0" class="reference"><a href="#cite_note-pmid9049576-116"><span class="cite-bracket">[</span>116<span class="cite-bracket">]</span></a></sup> Additionally, <a href="/wiki/Aspirin" title="Aspirin">aspirin</a> is not recommended in children and young adults (those under the age of 16 or 19 depending on the country) due to the risk of <a href="/wiki/Reye%27s_syndrome" class="mw-redirect" title="Reye's syndrome">Reye's syndrome</a>.<sup id="cite_ref-117" class="reference"><a href="#cite_note-117"><span class="cite-bracket">[</span>117<span class="cite-bracket">]</span></a></sup> </p><p>Using both paracetamol and ibuprofen at the same time or alternating between the two is more effective at decreasing fever than using only paracetamol or ibuprofen.<sup id="cite_ref-Wong2013_118-0" class="reference"><a href="#cite_note-Wong2013-118"><span class="cite-bracket">[</span>118<span class="cite-bracket">]</span></a></sup> It is not clear if it increases child comfort.<sup id="cite_ref-Wong2013_118-1" class="reference"><a href="#cite_note-Wong2013-118"><span class="cite-bracket">[</span>118<span class="cite-bracket">]</span></a></sup> Response or nonresponse to medications does not predict whether or not a child has a serious illness.<sup id="cite_ref-pmid23846358_119-0" class="reference"><a href="#cite_note-pmid23846358-119"><span class="cite-bracket">[</span>119<span class="cite-bracket">]</span></a></sup> </p><p>With respect to the effect of antipyretics on the risk of death in those with infection, studies have found mixed results, as of 2019.<sup id="cite_ref-120" class="reference"><a href="#cite_note-120"><span class="cite-bracket">[</span>120<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Epidemiology">Epidemiology</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Fever&action=edit&section=19" title="Edit section: Epidemiology"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Fever is one of the most common <a href="/wiki/Medical_signs" class="mw-redirect" title="Medical signs">medical signs</a>.<sup id="cite_ref-Peds2011_2-9" class="reference"><a href="#cite_note-Peds2011-2"><span class="cite-bracket">[</span>2<span class="cite-bracket">]</span></a></sup> It is part of about 30% of healthcare visits by children,<sup id="cite_ref-Peds2011_2-10" class="reference"><a href="#cite_note-Peds2011-2"><span class="cite-bracket">[</span>2<span class="cite-bracket">]</span></a></sup> and occurs in up to 75% of adults who are seriously sick.<sup id="cite_ref-Ki2013_11-2" class="reference"><a href="#cite_note-Ki2013-11"><span class="cite-bracket">[</span>11<span class="cite-bracket">]</span></a></sup> About 5% of people who go to an emergency room have a fever.<sup id="cite_ref-EMP2012_121-0" class="reference"><a href="#cite_note-EMP2012-121"><span class="cite-bracket">[</span>121<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="History">History</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Fever&action=edit&section=20" title="Edit section: History"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>A number of types of fever were known as early as 460 BC to 370 BC when <a href="/wiki/Hippocrates" title="Hippocrates">Hippocrates</a> was practicing medicine including that due to <a href="/wiki/Malaria" title="Malaria">malaria</a> (tertian or every 2 days and quartan or every 3 days).<sup id="cite_ref-Sajadi2012_122-0" class="reference"><a href="#cite_note-Sajadi2012-122"><span class="cite-bracket">[</span>122<span class="cite-bracket">]</span></a></sup> It also became clear around this time that fever was a symptom of disease rather than a disease in and of itself.<sup id="cite_ref-Sajadi2012_122-1" class="reference"><a href="#cite_note-Sajadi2012-122"><span class="cite-bracket">[</span>122<span class="cite-bracket">]</span></a></sup> </p><p>Infections presenting with fever were a major source of mortality in humans for about 200,000 years. Until the late nineteenth century, approximately half of all humans died from infections before the age of fifteen.<sup id="cite_ref-123" class="reference"><a href="#cite_note-123"><span class="cite-bracket">[</span>123<span class="cite-bracket">]</span></a></sup> </p><p>An older term, <a href="https://en.wiktionary.org/wiki/febricula" class="extiw" title="wikt:febricula">febricula</a> (a <a href="/wiki/Diminutive" title="Diminutive">diminutive</a> form of the <a href="/wiki/Latin_language" class="mw-redirect" title="Latin language">Latin</a> word for fever), was once used to refer to a low-grade fever lasting only a few days. This term fell out of use in the early 20th century, and the symptoms it referred to are now thought to have been caused mainly by various minor <a href="/wiki/Virus" title="Virus">viral</a> <a href="/wiki/Respiratory_infection" class="mw-redirect" title="Respiratory infection">respiratory infections</a>.<sup id="cite_ref-124" class="reference"><a href="#cite_note-124"><span class="cite-bracket">[</span>124<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Society_and_culture">Society and culture</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Fever&action=edit&section=21" title="Edit section: Society and culture"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <div class="mw-heading mw-heading3"><h3 id="Mythology">Mythology</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Fever&action=edit&section=22" title="Edit section: Mythology"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <figure class="mw-default-size" typeof="mw:File/Thumb"><a href="/wiki/File:Virgil_Solis_Febris.jpg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/0/07/Virgil_Solis_Febris.jpg/220px-Virgil_Solis_Febris.jpg" decoding="async" width="220" height="298" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/0/07/Virgil_Solis_Febris.jpg/330px-Virgil_Solis_Febris.jpg 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/0/07/Virgil_Solis_Febris.jpg/440px-Virgil_Solis_Febris.jpg 2x" data-file-width="1694" data-file-height="2297" /></a><figcaption>Febris</figcaption></figure> <ul><li><a href="/wiki/Febris" title="Febris">Febris</a> (<i>fever</i> in <a href="/wiki/Latin" title="Latin">Latin</a>) is the goddess of fever in <a href="/wiki/Roman_mythology" title="Roman mythology">Roman mythology</a>. People with fevers would visit her temples.</li> <li>Tertiana and Quartana are the goddesses of tertian and quartan fevers of malaria in Roman mythology.<sup id="cite_ref-125" class="reference"><a href="#cite_note-125"><span class="cite-bracket">[</span>125<span class="cite-bracket">]</span></a></sup></li> <li><a href="/wiki/Jvarasura" title="Jvarasura">Jvarasura</a> (<i>fever-demon</i> in <a href="/wiki/Hindi" title="Hindi">Hindi</a>) is the personification of fever and disease in <a href="/wiki/Hindu_mythology" title="Hindu mythology">Hindu</a> and <a href="/wiki/Buddhist_mythology" title="Buddhist mythology">Buddhist mythology</a>.</li></ul> <div class="mw-heading mw-heading3"><h3 id="Pediatrics">Pediatrics</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Fever&action=edit&section=23" title="Edit section: Pediatrics"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Fever is often viewed with greater concern by parents and healthcare professionals than might be deserved, a phenomenon known as fever phobia,<sup id="cite_ref-Peds2011_2-11" class="reference"><a href="#cite_note-Peds2011-2"><span class="cite-bracket">[</span>2<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-Crocetti2001_126-0" class="reference"><a href="#cite_note-Crocetti2001-126"><span class="cite-bracket">[</span>126<span class="cite-bracket">]</span></a></sup> which is based in both caregiver's and parents' misconceptions about fever in children. Among them, many parents incorrectly believe that fever is a <a href="/wiki/Disease" title="Disease">disease</a> rather than a <a href="/wiki/Medical_sign" class="mw-redirect" title="Medical sign">medical sign</a>, that even low fevers are harmful, and that any temperature even briefly or slightly above the oversimplified "normal" number marked on a thermometer is a clinically significant fever.<sup id="cite_ref-Crocetti2001_126-1" class="reference"><a href="#cite_note-Crocetti2001-126"><span class="cite-bracket">[</span>126<span class="cite-bracket">]</span></a></sup> They are also afraid of harmless side effects like <a href="/wiki/Febrile_seizure" title="Febrile seizure">febrile seizures</a> and dramatically overestimate the likelihood of permanent damage from typical fevers.<sup id="cite_ref-Crocetti2001_126-2" class="reference"><a href="#cite_note-Crocetti2001-126"><span class="cite-bracket">[</span>126<span class="cite-bracket">]</span></a></sup> The underlying problem, according to professor of pediatrics Barton D. Schmitt, is that "as parents we tend to suspect that our children's brains may melt."<sup id="cite_ref-127" class="reference"><a href="#cite_note-127"><span class="cite-bracket">[</span>127<span class="cite-bracket">]</span></a></sup> As a result of these misconceptions parents are anxious, give the child fever-reducing medicine when the temperature is technically normal or only slightly elevated, and interfere with the child's sleep to give the child more medicine.<sup id="cite_ref-Crocetti2001_126-3" class="reference"><a href="#cite_note-Crocetti2001-126"><span class="cite-bracket">[</span>126<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Other_species">Other species</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Fever&action=edit&section=24" title="Edit section: Other species"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1236090951"><div role="note" class="hatnote navigation-not-searchable">Main article: <a href="/wiki/Thermoregulation" title="Thermoregulation">Thermoregulation</a></div> <p>Fever is an important metric for the <a href="/wiki/Medical_diagnosis" title="Medical diagnosis">diagnosis</a> of <a href="/wiki/Livestock_disease" class="mw-redirect" title="Livestock disease">disease in domestic animals</a>. The body temperature of animals, which is taken rectally, is different from one species to another. For example, a <a href="/wiki/Horse" title="Horse">horse</a> is said to have a fever above <span class="nowrap"><span data-sort-value="7002311483333333333♠"></span>101 °F</span> (<span class="nowrap"><span data-sort-value="7002311450000000000♠"></span>38.3 °C</span>).<sup id="cite_ref-128" class="reference"><a href="#cite_note-128"><span class="cite-bracket">[</span>128<span class="cite-bracket">]</span></a></sup> In species that allow the body to have a wide range of "normal" temperatures, such as <a href="/wiki/Camel" title="Camel">camels</a>,<sup id="cite_ref-129" class="reference"><a href="#cite_note-129"><span class="cite-bracket">[</span>129<span class="cite-bracket">]</span></a></sup> whose body temperature varies as the environmental temperature varies,<sup id="cite_ref-130" class="reference"><a href="#cite_note-130"><span class="cite-bracket">[</span>130<span class="cite-bracket">]</span></a></sup> the body temperature which constitutes a febrile state differs depending on the environmental temperature.<sup id="cite_ref-131" class="reference"><a href="#cite_note-131"><span class="cite-bracket">[</span>131<span class="cite-bracket">]</span></a></sup> Fever can also be behaviorally induced by invertebrates that do not have immune-system based fever. For instance, some species of grasshopper will thermoregulate to achieve body temperatures that are 2–5 °C higher than normal in order to inhibit the growth of fungal pathogens such as <i><a href="/wiki/Beauveria_bassiana" title="Beauveria bassiana">Beauveria bassiana</a></i> and <i><a href="/wiki/Metarhizium_acridum" title="Metarhizium acridum">Metarhizium acridum</a></i>.<sup id="cite_ref-Thomas2003_132-0" class="reference"><a href="#cite_note-Thomas2003-132"><span class="cite-bracket">[</span>132<span class="cite-bracket">]</span></a></sup> Honeybee colonies are also able to induce a fever in response to a fungal parasite <i>Ascosphaera apis</i>.<sup id="cite_ref-Thomas2003_132-1" class="reference"><a href="#cite_note-Thomas2003-132"><span class="cite-bracket">[</span>132<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="References">References</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Fever&action=edit&section=25" title="Edit section: References"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <style data-mw-deduplicate="TemplateStyles:r1239543626">.mw-parser-output .reflist{margin-bottom:0.5em;list-style-type:decimal}@media screen{.mw-parser-output .reflist{font-size:90%}}.mw-parser-output .reflist .references{font-size:100%;margin-bottom:0;list-style-type:inherit}.mw-parser-output .reflist-columns-2{column-width:30em}.mw-parser-output .reflist-columns-3{column-width:25em}.mw-parser-output .reflist-columns{margin-top:0.3em}.mw-parser-output .reflist-columns ol{margin-top:0}.mw-parser-output .reflist-columns li{page-break-inside:avoid;break-inside:avoid-column}.mw-parser-output .reflist-upper-alpha{list-style-type:upper-alpha}.mw-parser-output .reflist-upper-roman{list-style-type:upper-roman}.mw-parser-output .reflist-lower-alpha{list-style-type:lower-alpha}.mw-parser-output .reflist-lower-greek{list-style-type:lower-greek}.mw-parser-output .reflist-lower-roman{list-style-type:lower-roman}</style><div class="reflist"> <div class="mw-references-wrap mw-references-columns"><ol class="references"> <li id="cite_note-NC08-1"><span class="mw-cite-backlink">^ <a href="#cite_ref-NC08_1-0"><sup><i><b>a</b></i></sup></a> <a href="#cite_ref-NC08_1-1"><sup><i><b>b</b></i></sup></a> <a href="#cite_ref-NC08_1-2"><sup><i><b>c</b></i></sup></a> <a href="#cite_ref-NC08_1-3"><sup><i><b>d</b></i></sup></a> <a href="#cite_ref-NC08_1-4"><sup><i><b>e</b></i></sup></a> <a href="#cite_ref-NC08_1-5"><sup><i><b>f</b></i></sup></a> <a href="#cite_ref-NC08_1-6"><sup><i><b>g</b></i></sup></a> <a href="#cite_ref-NC08_1-7"><sup><i><b>h</b></i></sup></a> <a href="#cite_ref-NC08_1-8"><sup><i><b>i</b></i></sup></a></span> <span class="reference-text"><style data-mw-deduplicate="TemplateStyles:r1238218222">.mw-parser-output cite.citation{font-style:inherit;word-wrap:break-word}.mw-parser-output .citation q{quotes:"\"""\"""'""'"}.mw-parser-output .citation:target{background-color:rgba(0,127,255,0.133)}.mw-parser-output .id-lock-free.id-lock-free a{background:url("//upload.wikimedia.org/wikipedia/commons/6/65/Lock-green.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-limited.id-lock-limited a,.mw-parser-output .id-lock-registration.id-lock-registration a{background:url("//upload.wikimedia.org/wikipedia/commons/d/d6/Lock-gray-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-subscription.id-lock-subscription a{background:url("//upload.wikimedia.org/wikipedia/commons/a/aa/Lock-red-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .cs1-ws-icon a{background:url("//upload.wikimedia.org/wikipedia/commons/4/4c/Wikisource-logo.svg")right 0.1em center/12px no-repeat}body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-free a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-limited a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-registration a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-subscription a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .cs1-ws-icon a{background-size:contain;padding:0 1em 0 0}.mw-parser-output .cs1-code{color:inherit;background:inherit;border:none;padding:inherit}.mw-parser-output .cs1-hidden-error{display:none;color:var(--color-error,#d33)}.mw-parser-output .cs1-visible-error{color:var(--color-error,#d33)}.mw-parser-output .cs1-maint{display:none;color:#085;margin-left:0.3em}.mw-parser-output .cs1-kern-left{padding-left:0.2em}.mw-parser-output .cs1-kern-right{padding-right:0.2em}.mw-parser-output .citation .mw-selflink{font-weight:inherit}@media screen{.mw-parser-output .cs1-format{font-size:95%}html.skin-theme-clientpref-night .mw-parser-output .cs1-maint{color:#18911f}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .cs1-maint{color:#18911f}}</style><cite id="CITEREFAxelrodDiringer2008" class="citation journal cs1">Axelrod YK, Diringer MN (May 2008). 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(April 2020)">page needed</span></a></i>]</sup><sup class="noprint Inline-Template noprint noexcerpt Template-Fact" style="white-space:nowrap;">[<i><a href="/wiki/Wikipedia:NOTRS" class="mw-redirect" title="Wikipedia:NOTRS"><span title="This claim needs references to better sources. (April 2020)">better source needed</span></a></i>]</sup></span> </li> <li id="cite_note-50"><span class="mw-cite-backlink"><b><a href="#cite_ref-50">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFSinghDaneshvar2013" class="citation journal cs1">Singh, B.; Daneshvar, C. 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Martin Dunitz. <a href="/wiki/ISBN_(identifier)" class="mw-redirect" title="ISBN (identifier)">ISBN</a> <a href="/wiki/Special:BookSources/978-1-84184-033-8" title="Special:BookSources/978-1-84184-033-8"><bdi>978-1-84184-033-8</bdi></a>. <a href="/wiki/OCLC_(identifier)" class="mw-redirect" title="OCLC (identifier)">OCLC</a> <a rel="nofollow" class="external text" href="https://search.worldcat.org/oclc/48195937">48195937</a>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&rft.genre=book&rft.btitle=Textbook+of+febrile+neutropenia&rft.pub=Martin+Dunitz&rft.date=2001&rft_id=info%3Aoclcnum%2F48195937&rft.isbn=978-1-84184-033-8&rfr_id=info%3Asid%2Fen.wikipedia.org%3AFever" class="Z3988"></span></span> </li> <li id="cite_note-MDMA-Hyperpyrexia_systematic_review-58"><span class="mw-cite-backlink"><b><a href="#cite_ref-MDMA-Hyperpyrexia_systematic_review_58-0">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFGrunauWiensBrubacher2010" class="citation journal cs1">Grunau BE, Wiens MO, Brubacher JR (September 2010). <a rel="nofollow" class="external text" href="https://doi.org/10.1017%2Fs1481803500012598">"Dantrolene in the treatment of MDMA-related hyperpyrexia: a systematic review"</a>. <i>Canadian Journal of Emergency Medicine</i>. <b>12</b> (5): 435–442. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<span class="id-lock-free" title="Freely accessible"><a rel="nofollow" class="external text" href="https://doi.org/10.1017%2Fs1481803500012598">10.1017/s1481803500012598</a></span>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a> <a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/20880437">20880437</a>. <q>Dantrolene may also be associated with improved survival and reduced complications, especially in patients with extreme (≥ 42 °C) or severe (≥ 40 °C) hyperpyrexia</q></cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.jtitle=Canadian+Journal+of+Emergency+Medicine&rft.atitle=Dantrolene+in+the+treatment+of+MDMA-related+hyperpyrexia%3A+a+systematic+review&rft.volume=12&rft.issue=5&rft.pages=435-442&rft.date=2010-09&rft_id=info%3Adoi%2F10.1017%2Fs1481803500012598&rft_id=info%3Apmid%2F20880437&rft.aulast=Grunau&rft.aufirst=BE&rft.au=Wiens%2C+MO&rft.au=Brubacher%2C+JR&rft_id=https%3A%2F%2Fdoi.org%2F10.1017%252Fs1481803500012598&rfr_id=info%3Asid%2Fen.wikipedia.org%3AFever" class="Z3988"></span></span> </li> <li id="cite_note-Neurobiology_of_hyperthermia-59"><span class="mw-cite-backlink"><b><a href="#cite_ref-Neurobiology_of_hyperthermia_59-0">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFSharma_HS2007" class="citation book cs1">Sharma HS, ed. 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Retrieved <span class="nowrap">19 November</span> 2016</span>. <q>Despite the myriad of complications associated with heat illness, an elevation of core temperature above 41.0 °C (often referred to as fever or hyperpyrexia) is the most widely recognized symptom of this syndrome.</q></cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&rft.genre=book&rft.btitle=Neurobiology+of+Hyperthermia&rft.pages=175-177%2C+485&rft.edition=1st&rft.pub=Elsevier&rft.date=2007&rft.isbn=978-0080549996&rft_id=https%3A%2F%2Fbooks.google.com%2Fbooks%3Fid%3DVk1UTlmEwrQC%26pg%3D485&rfr_id=info%3Asid%2Fen.wikipedia.org%3AFever" class="Z3988"></span></span> </li> <li id="cite_note-60"><span class="mw-cite-backlink"><b><a href="#cite_ref-60">^</a></b></span> <span class="reference-text">See section in Chapter 15 therein, the section on "Fever versus hyperthermia".</span> </li> <li id="cite_note-EM01-61"><span class="mw-cite-backlink">^ <a href="#cite_ref-EM01_61-0"><sup><i><b>a</b></i></sup></a> <a href="#cite_ref-EM01_61-1"><sup><i><b>b</b></i></sup></a> <a href="#cite_ref-EM01_61-2"><sup><i><b>c</b></i></sup></a></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFMcGugan2001" class="citation journal cs1">McGugan EA (March 2001). 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href="https://pubmed.ncbi.nlm.nih.gov/22820543">22820543</a>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.jtitle=Clinical+Infectious+Diseases&rft.atitle=Akhawayni+and+the+first+fever+curve&rft.volume=55&rft.issue=7&rft.pages=976-980&rft.date=2012-10&rft_id=info%3Adoi%2F10.1093%2Fcid%2Fcis596&rft_id=info%3Apmid%2F22820543&rft.aulast=Sajadi&rft.aufirst=MM&rft.au=Bonabi%2C+R&rft.au=Sajadi%2C+MR&rft.au=Mackowiak%2C+PA&rft_id=https%3A%2F%2Fdoi.org%2F10.1093%252Fcid%252Fcis596&rfr_id=info%3Asid%2Fen.wikipedia.org%3AFever" class="Z3988"></span></span> </li> <li id="cite_note-123"><span class="mw-cite-backlink"><b><a href="#cite_ref-123">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFCasanovaAbel2021" class="citation journal cs1">Casanova, Jean-Laurent; Abel, Laurent (2021). <a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7923385">"Lethal Infectious Diseases as Inborn Errors of Immunity: Toward a Synthesis of the Germ and Genetic Theories"</a>. <i>Annual Review of Pathology: Mechanisms of Disease</i>. <b>16</b>: 23–50. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<span class="id-lock-free" title="Freely accessible"><a rel="nofollow" class="external text" href="https://doi.org/10.1146%2Fannurev-pathol-031920-101429">10.1146/annurev-pathol-031920-101429</a></span>. <a href="/wiki/PMC_(identifier)" class="mw-redirect" title="PMC (identifier)">PMC</a> <span class="id-lock-free" title="Freely accessible"><a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7923385">7923385</a></span>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a> <a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/32289233">32289233</a>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.jtitle=Annual+Review+of+Pathology%3A+Mechanisms+of+Disease&rft.atitle=Lethal+Infectious+Diseases+as+Inborn+Errors+of+Immunity%3A+Toward+a+Synthesis+of+the+Germ+and+Genetic+Theories&rft.volume=16&rft.pages=23-50&rft.date=2021&rft_id=https%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC7923385%23id-name%3DPMC&rft_id=info%3Apmid%2F32289233&rft_id=info%3Adoi%2F10.1146%2Fannurev-pathol-031920-101429&rft.aulast=Casanova&rft.aufirst=Jean-Laurent&rft.au=Abel%2C+Laurent&rft_id=https%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC7923385&rfr_id=info%3Asid%2Fen.wikipedia.org%3AFever" class="Z3988"></span></span> </li> <li id="cite_note-124"><span class="mw-cite-backlink"><b><a href="#cite_ref-124">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" 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"Chapter 27: Regulation of Body Temperature (Clinical Focus: Pathogenesis of Fever)". <span class="id-lock-registration" title="Free registration required"><a rel="nofollow" class="external text" href="https://archive.org/details/humanphysiology00rhoa"><i>Human Physiology</i></a></span> (3rd ed.). Philadelphia: Saunders College. <a href="/wiki/ISBN_(identifier)" class="mw-redirect" title="ISBN (identifier)">ISBN</a> <a href="/wiki/Special:BookSources/9780030051593" title="Special:BookSources/9780030051593"><bdi>9780030051593</bdi></a><span class="reference-accessdate">. Retrieved <span class="nowrap">2 April</span> 2020</span>.</cite><span title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&rft.genre=bookitem&rft.atitle=Chapter+27%3A+Regulation+of+Body+Temperature+%28Clinical+Focus%3A+Pathogenesis+of+Fever%29&rft.btitle=Human+Physiology&rft.place=Philadelphia&rft.edition=3rd&rft.pub=Saunders+College&rft.date=1996&rft.isbn=9780030051593&rft.aulast=Rhoades&rft.aufirst=R&rft.au=Pflanzer%2C+RG&rft_id=https%3A%2F%2Farchive.org%2Fdetails%2Fhumanphysiology00rhoa&rfr_id=info%3Asid%2Fen.wikipedia.org%3AFever" class="Z3988"></span></li></ul> <div class="mw-heading mw-heading2"><h2 id="External_links">External links</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Fever&action=edit&section=27" title="Edit section: External links"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <div class="navbox-styles"><style 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.navbox-image img{max-width:none!important}@media print{body.ns-0 .mw-parser-output .navbox{display:none!important}}</style><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1129693374"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1129693374"></div><div role="navigation" class="navbox" aria-label="Navbox" style="width:100%; margin:0.5em 0 0.5em 0;;padding:3px"><table class="nowraplinks navbox-inner" style="border-spacing:0;background:transparent;color:inherit"><tbody><tr><th scope="row" class="navbox-group" style="width:1%;background: #EAECF0;color:black;">Classification</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"><div style="position:relative; float:right; font-size:0.8em;"><a href="https://www.wikidata.org/wiki/Q38933" class="extiw" title="d:Q38933">D</a></div><div class="hlist" style="text-align:left;"><ul><li><b><a href="/wiki/International_Statistical_Classification_of_Diseases_and_Related_Health_Problems" class="mw-redirect" title="International Statistical Classification of Diseases and Related Health Problems">ICD</a>-<a href="/wiki/ICD-10" title="ICD-10">10</a></b>: <a rel="nofollow" class="external text" href="https://icd.who.int/browse10/2019/en#/R50">R50</a></li><li><b><a href="/wiki/International_Statistical_Classification_of_Diseases_and_Related_Health_Problems" class="mw-redirect" title="International Statistical Classification of Diseases and Related Health Problems">ICD</a>-<a href="/wiki/List_of_ICD-9_codes" title="List of ICD-9 codes">9-CM</a></b>: <a rel="nofollow" class="external text" href="http://www.icd9data.com/getICD9Code.ashx?icd9=780.6">780.6</a></li><li><b><a href="/wiki/Medical_Subject_Headings" title="Medical Subject Headings">MeSH</a></b>: <a rel="nofollow" class="external text" href="https://meshb.nlm.nih.gov/record/ui?ui=D005334">D005334</a></li><li><b><a href="/wiki/Diseases_Database" title="Diseases Database">DiseasesDB</a></b>: <a rel="nofollow" class="external text" href="http://www.diseasesdatabase.com/ddb18924.htm">18924</a></li></ul></div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%;background: #EAECF0;color:black;">External resources</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"><div class="hlist" style="text-align:left;"><ul><li><b><a href="/wiki/MedlinePlus" title="MedlinePlus">MedlinePlus</a></b>: <a rel="nofollow" class="external text" href="https://www.nlm.nih.gov/medlineplus/ency/article/003090.htm">003090</a></li><li><b><a href="/wiki/EMedicine" title="EMedicine">eMedicine</a></b>: <a rel="nofollow" class="external text" href="https://emedicine.medscape.com/med/785-overview">med/785</a></li></ul></div></div></td></tr></tbody></table></div> <style data-mw-deduplicate="TemplateStyles:r1235681985">.mw-parser-output .side-box{margin:4px 0;box-sizing:border-box;border:1px solid #aaa;font-size:88%;line-height:1.25em;background-color:var(--background-color-interactive-subtle,#f8f9fa);display:flow-root}.mw-parser-output .side-box-abovebelow,.mw-parser-output .side-box-text{padding:0.25em 0.9em}.mw-parser-output .side-box-image{padding:2px 0 2px 0.9em;text-align:center}.mw-parser-output .side-box-imageright{padding:2px 0.9em 2px 0;text-align:center}@media(min-width:500px){.mw-parser-output .side-box-flex{display:flex;align-items:center}.mw-parser-output .side-box-text{flex:1;min-width:0}}@media(min-width:720px){.mw-parser-output .side-box{width:238px}.mw-parser-output .side-box-right{clear:right;float:right;margin-left:1em}.mw-parser-output .side-box-left{margin-right:1em}}</style><style data-mw-deduplicate="TemplateStyles:r1237033735">@media print{body.ns-0 .mw-parser-output .sistersitebox{display:none!important}}@media screen{html.skin-theme-clientpref-night .mw-parser-output .sistersitebox img[src*="Wiktionary-logo-en-v2.svg"]{background-color:white}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .sistersitebox img[src*="Wiktionary-logo-en-v2.svg"]{background-color:white}}</style><div class="side-box side-box-right plainlinks sistersitebox"><style data-mw-deduplicate="TemplateStyles:r1126788409">.mw-parser-output .plainlist ol,.mw-parser-output .plainlist ul{line-height:inherit;list-style:none;margin:0;padding:0}.mw-parser-output .plainlist ol li,.mw-parser-output .plainlist ul li{margin-bottom:0}</style> <div class="side-box-flex"> <div class="side-box-image"><span class="noviewer" typeof="mw:File"><span><img alt="" src="//upload.wikimedia.org/wikipedia/en/thumb/4/4a/Commons-logo.svg/30px-Commons-logo.svg.png" decoding="async" width="30" height="40" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/en/thumb/4/4a/Commons-logo.svg/45px-Commons-logo.svg.png 1.5x, //upload.wikimedia.org/wikipedia/en/thumb/4/4a/Commons-logo.svg/59px-Commons-logo.svg.png 2x" data-file-width="1024" data-file-height="1376" /></span></span></div> <div class="side-box-text plainlist">Wikimedia Commons has media related to <span style="font-weight: bold; font-style: italic;"><a href="https://commons.wikimedia.org/wiki/Category:Fever" class="extiw" title="commons:Category:Fever">Fever</a></span>.</div></div> </div> <ul><li><a rel="nofollow" class="external text" href="http://kidshealth.org/parent/general/body/fever.html">Fever and Taking Your Child's Temperature</a></li> <li><a rel="nofollow" class="external text" href="https://www.nlm.nih.gov/medlineplus/ency/article/003090.htm">US National Institute of Health factsheet</a></li> <li><a rel="nofollow" class="external text" href="http://www.drugcite.com/indi/?i=PYREXIA">Drugs most commonly associated with the adverse event Pyrexia (Fever) as reported the FDA</a> <a rel="nofollow" class="external text" href="https://web.archive.org/web/20120309114919/http://www.drugcite.com/indi/?i=PYREXIA">Archived</a> 9 March 2012 at the <a href="/wiki/Wayback_Machine" title="Wayback Machine">Wayback Machine</a></li> <li><a rel="nofollow" class="external text" href="https://medlineplus.gov/fever.html">Fever</a> at MedlinePlus</li> <li><a rel="nofollow" class="external text" href="https://www.nytimes.com/2021/01/11/well/live/fever-benefits.html">Why are We So Afraid of Fevers?</a> at <i>The New York Times</i></li></ul> <div class="navbox-styles"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1129693374"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1236075235"></div><div role="navigation" class="navbox" aria-labelledby="Signs_and_symptoms_that_are_general_or_constitutional" style="padding:3px"><table class="nowraplinks mw-collapsible autocollapse navbox-inner" style="border-spacing:0;background:transparent;color:inherit"><tbody><tr><th scope="col" class="navbox-title" colspan="2"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1129693374"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1239400231"><div class="navbar plainlinks hlist navbar-mini"><ul><li class="nv-view"><a href="/wiki/Template:General_symptoms_and_signs" title="Template:General symptoms and signs"><abbr title="View this template">v</abbr></a></li><li class="nv-talk"><a href="/wiki/Template_talk:General_symptoms_and_signs" title="Template talk:General symptoms and signs"><abbr title="Discuss this template">t</abbr></a></li><li class="nv-edit"><a href="/wiki/Special:EditPage/Template:General_symptoms_and_signs" title="Special:EditPage/Template:General symptoms and signs"><abbr title="Edit this template">e</abbr></a></li></ul></div><div id="Signs_and_symptoms_that_are_general_or_constitutional" style="font-size:114%;margin:0 4em"><a href="/wiki/Signs_and_symptoms" title="Signs and symptoms">Signs and symptoms</a> that are general or <a href="/wiki/Constitutional_symptoms" class="mw-redirect" title="Constitutional symptoms">constitutional</a></div></th></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Temperature" title="Temperature">Temperature</a></th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><span class="nobold"><i>heat</i></span></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a class="mw-selflink selflink">Fever</a> <ul><li><a href="/wiki/Fever_of_unknown_origin" title="Fever of unknown origin">of unknown origin</a></li> <li><a href="/wiki/Drug-induced_hyperthermia" title="Drug-induced hyperthermia">drug-induced</a></li> <li><a href="/wiki/Postoperative_fever" title="Postoperative fever">postoperative</a></li></ul></li> <li><a href="/wiki/Hyperthermia" title="Hyperthermia">Hyperthermia</a></li> <li><a href="/wiki/Hyperhidrosis" title="Hyperhidrosis">Hyperhidrosis</a></li> <li><a href="/wiki/Night_sweats" title="Night sweats">Night sweats</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><span class="nobold"><i>cold</i></span></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Chills" title="Chills">Chills</a></li> <li><a href="/wiki/Hypothermia" title="Hypothermia">Hypothermia</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Aches and <a href="/wiki/Pain" title="Pain">pains</a></th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Headache" title="Headache">Headache</a></li> <li><a href="/wiki/Chronic_pain" title="Chronic pain">Chronic pain</a></li> <li><a href="/wiki/Cancer_pain" title="Cancer pain">Cancer pain</a></li> <li><a href="/wiki/Myalgia" title="Myalgia">Myalgia</a></li> <li><a href="/wiki/Tenderness_(medicine)" title="Tenderness (medicine)">Tenderness</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Malaise" title="Malaise">Malaise</a> and <a href="/wiki/Fatigue" title="Fatigue">fatigue</a></th><td class="navbox-list-with-group navbox-list navbox-even hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Fatigue" title="Fatigue">Lassitude</a></li> <li><a href="/wiki/Lethargy" title="Lethargy">Lethargy</a></li> <li><a href="/wiki/Atrophy" title="Atrophy">Atrophy</a> <ul><li><a href="/wiki/Muscle_atrophy" title="Muscle atrophy">of muscle</a></li></ul></li> <li><a href="/wiki/Weakness" title="Weakness">Asthenia</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Miscellaneous</th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Cachexia" title="Cachexia">Cachexia</a></li> <li><a href="/wiki/Anorexia" class="mw-redirect" title="Anorexia">Anorexia</a></li> <li><a href="/wiki/Polyphagia" title="Polyphagia">Polyphagia</a> and <a href="/wiki/Polydipsia" title="Polydipsia">polydipsia</a></li> <li><a href="/wiki/Influenza-like_illness" title="Influenza-like illness">Flu-like symptoms</a></li></ul> </div></td></tr></tbody></table></div> <div class="navbox-styles"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1129693374"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1236075235"><style data-mw-deduplicate="TemplateStyles:r1038841319">.mw-parser-output .tooltip-dotted{border-bottom:1px dotted;cursor:help}</style><link 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srcset="//upload.wikimedia.org/wikipedia/en/thumb/8/8a/OOjs_UI_icon_edit-ltr-progressive.svg/15px-OOjs_UI_icon_edit-ltr-progressive.svg.png 1.5x, //upload.wikimedia.org/wikipedia/en/thumb/8/8a/OOjs_UI_icon_edit-ltr-progressive.svg/20px-OOjs_UI_icon_edit-ltr-progressive.svg.png 2x" data-file-width="20" data-file-height="20" /></a></span></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"><ul><li><span class="uid"><span class="rt-commentedText tooltip tooltip-dotted" title="Fieber"><a rel="nofollow" class="external text" href="https://d-nb.info/gnd/4017064-0">Germany</a></span></span></li><li><span class="uid"><span class="rt-commentedText tooltip tooltip-dotted" title="Fever"><a rel="nofollow" class="external text" href="https://id.loc.gov/authorities/sh85047994">United States</a></span></span></li><li><span class="uid"><span class="rt-commentedText tooltip tooltip-dotted" title="horečka"><a rel="nofollow" class="external text" href="https://aleph.nkp.cz/F/?func=find-c&local_base=aut&ccl_term=ica=ph441087&CON_LNG=ENG">Czech Republic</a></span></span></li><li><span class="uid"><a rel="nofollow" class="external text" href="http://olduli.nli.org.il/F/?func=find-b&local_base=NLX10&find_code=UID&request=987007531251705171">Israel</a></span></li></ul></div></td></tr></tbody></table></div> <!-- NewPP limit report Parsed by mw‐web.codfw.main‐f69cdc8f6‐gflb9 Cached time: 20241122140451 Cache expiry: 2592000 Reduced expiry: false Complications: [vary‐revision‐sha1, show‐toc] CPU time usage: 1.595 seconds Real time usage: 1.793 seconds Preprocessor visited node count: 13863/1000000 Post‐expand include size: 369843/2097152 bytes Template argument size: 9557/2097152 bytes Highest expansion depth: 19/100 Expensive parser function count: 12/500 Unstrip recursion depth: 1/20 Unstrip post‐expand size: 551509/5000000 bytes Lua time usage: 0.983/10.000 seconds Lua memory usage: 11279496/52428800 bytes 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