Fever: blessing or curse? A unifying hypothesis

P A Mackowiak1

  • 1Department of Veterans Affairs Medical Center, Baltimore, Maryland.

Insights

Fever can help or harm infection resistance. From a species perspective, fever aids recovery in mild infections but eliminates individuals with severe infections to prevent epidemics.

Area of Science:

  • Immunology and evolutionary biology

Background:

  • Fever and its mediators exhibit dual effects on infection resistance, potentiating or inhibiting it.
  • These contradictory effects are challenging to explain from an individual's survival standpoint.

Purpose of the Study:

  • To reconcile the paradoxical roles of fever in infection resistance.
  • To explore the evolutionary and species-level implications of fever's effects.

Main Methods:

  • Review and synthesis of existing data on fever and infection resistance.
  • Teleological and evolutionary analysis of fever's functions.

Main Results:

  • Fever's effects are plausible when considering species preservation over individual survival.
  • Fever aids recovery in mild/moderate infections, promoting species propagation.
  • Fever eliminates individuals with severe infections, preventing epidemic spread.

Conclusions:

  • Fever and its mediators evolved as mechanisms for species survival.
  • Fever balances individual recovery with the elimination of epidemic threats.

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