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Patterns of Fever01:26

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Before understanding the types and patterns of fever, it is essential to know its phases.
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A body temperature above  38°C  (100.4 °F) is known as fever or pyrexia, and a person with fever is termed 'febrile.' Typically, the hypothalamus, a part of the brain that acts as the body's thermostat, regulates body temperature through a thermoregulatory setpoint. It receives signals from cold and warm thermal receptors throughout the body and adjusts the body's temperature accordingly. Fever occurs when this hypothalamic setpoint is altered, usually in...
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The meaning of illness is individualized to each person who experiences an alteration in health. In contrast, disease is a medical term indicating a pathological change in the structure and function of the body or mind. It is a condition that has specific symptoms and boundaries.
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Hyperthermia occurs when the body's temperature becomes unusually high, often due to heat exposure, intense physical activity, or certain illnesses. This condition can create a dangerous cycle where elevated body temperature increases the metabolic rate, generating more heat and potentially leading to organ failure and brain damage. A severe form of hyperthermia, called heat stroke, can raise body temperature to life-threatening levels. Fever, on the other hand, is a controlled form of...
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Updated: Apr 6, 2026

Behavioral Phenotyping of Murine Disease Models with the Integrated Behavioral Station INBEST
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Fever and sickness behavior: Friend or foe?

L M Harden1, S Kent2, Q J Pittman3

  • 1Brain Function Research Group, School of Physiology, Faculty of Health Sciences, University of the Witwatersrand, 7 York Road, Parktown, Johannesburg, South Africa.

Brain, Behavior, and Immunity
|July 19, 2015
PubMed
Summary

Fever and sickness behaviors are complex brain-controlled responses to illness. Understanding if these symptoms are beneficial or harmful is crucial for guiding treatment decisions, especially regarding fever-reducing medications.

Keywords:
AnorexiaAntipyreticsCritical illnessCytokinesHyperalgesiaImmune-to-brain communicationInfancyInflammationInfluenzaLethargyLipopolysaccharideNon-steroidal anti-inflammatory drugsPregnancyProstaglandins

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Area of Science:

  • Neuroscience
  • Immunology
  • Pathophysiology

Background:

  • Fever, historically viewed as dangerous, is now understood as a key defense mechanism.
  • The central nervous system's role in fever and associated symptoms has been increasingly elucidated.
  • Sickness behaviors, including fatigue and cognitive changes, are integral brain-controlled responses to illness.

Purpose of the Study:

  • To review the dual role of fever and sickness behaviors as potentially beneficial or detrimental.
  • To analyze these responses in various clinical contexts: critical illness, common infections, pregnancy, and newborns.
  • To inform clinical approaches to antipyretic use based on the functional significance of fever.

Main Methods:

  • Literature review and synthesis of current research on fever and sickness behavior.
  • Analysis of the neurobiological underpinnings of febrile responses.
  • Evaluation of clinical implications across different patient populations and disease states.

Main Results:

  • Fever and sickness behaviors are orchestrated by the central nervous system as adaptive responses.
  • The benefit-risk assessment of fever and associated behaviors varies significantly with the clinical context.
  • Understanding these nuances is critical for appropriate therapeutic interventions.

Conclusions:

  • Fever and sickness behaviors represent a complex biological response with both protective and potentially deleterious aspects.
  • Clinical management, particularly the use of antipyretics, should be tailored to the specific illness and patient context.
  • Further research is needed to fully delineate the 'friend or foe' nature of these responses in diverse conditions.