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Published on: September 14, 2018
Fever of Unknown Origin in a Girl with Idiopathic Generalized Anhidrosis Diagnosed Based on a Discrepancy between
1Department of Pediatrics, Nippon Medical School Chiba Hokusoh Hospital.
Abstract:
Patients with acquired idiopathic generalized anhidrosis (AIGA) present with reduced sweating and impaired thermoregulation, which causes body temperature to increase quickly during exercise or in a hot environment. A 14-year-old girl was admitted with a variety of symptoms and prolonged fever of unknown origin. AIGA was diagnosed because of a discrepancy between deep body temperature (tympanic membrane) and body surface temperature (axillary), and she was treated. Careful history taking and physical examination are essential for patients with fever of unknown origin.
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Types of Fever
Here are the different types of fever:
Increased Body Temperature
Assessing Body Temperature - Axilla
Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
Step 2: Prepare the patient by explaining the procedure to ensure understanding and cooperation. Ensure privacy, expose the axilla, and inform the patient that minimal movement is crucial for an accurate reading.
Step 3: Adjust the patient’s clothing to expose only the axilla. It minimizes...
Homeostatic Imbalances in Body Temperature
Patterns of Fever
Factors Affecting Body Temperature
Factors may include:
