齐普罗夫洛克萨诱导的药物发烧
1Geriatric Medicine, Surrey and Sussex Healthcare NHS Trust, Redhill, UK wilsonelim@yahoo.com.
BMJ case reports
|October 17, 2025
概括
药物引起的发烧是一种罕见的原因无法解释的发烧. 这一案例表明,西普罗夫洛克萨可以引起药物发烧,在停止使用抗生素后会消失.
科学领域:
- 内部医学 内部医学
- 药理学 药理学是指药理学的学科.
- 传染性疾病 传染性疾病
背景情况:
- 药物诱导的发烧是一种不常见但至关重要的差异诊断,用于无法解释的发烧.
- 患有复杂病史的患者,如晚期病和最近的手术,可能会出现诊断挑战.
研究的目的:
- 强调在排除其他原因后,在患有不明原因发烧的患者中考虑药物发烧的重要性.
- 强调识别西普罗夫洛克萨诱导药物发烧的诊断和临床影响.
主要方法:
- 一个案例报告介绍了一个60多岁的女性,患有晚期病和关节整形手术.
- 进行了广泛的调查,以排除感染病因.
- 这名患者接受了长期治疗,服用了西普洛素.
主要成果:
- 尽管进行了彻底的调查,但没有发现任何传染源.
- 在治疗时出现发烧复发,在药物停用后48小时内消失.
- 在停止使用西普洛素后,没有观察到发烧的复发.
结论:
- 在对不明原因发烧的差异诊断中,应考虑药物发烧,特别是当没有发现传染源时.
- 早期识别药物发烧,如西普洛素诱导的发烧,可以防止不必要的治疗,并改善患者的治疗结果.
- 保持对毒品热的高度怀疑指数至关重要,特别是在启动新药时.
相关概念视频
Increased Body Temperature
6.4K
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...
6.4K
Methods of reducing fever
1.2K
The signs and symptoms of fever include hot and dry skin, flushed face, thirst, muscle aches, anorexia, headache, tachycardia, tachypnea, and fatigue. Elevated body temperature is reduced using two methods: pharmacological and nonpharmacological. Proper identification and treatment of the root cause of a fever is of utmost importance.
Pharmacological Methods of Reducing Fever:
Pharmacological Methods of Reducing Fever:
1.2K
Patterns of Fever
3.8K
Before understanding the types and patterns of fever, it is essential to know its phases.
3.8K
Types of Fever
1.0K
Fever can be triggered by several factors, including infections, nervous system disorders, certain cancers, blood diseases like leukemia, embolism, thrombosis, heatstroke, dehydration, surgical trauma, crushing injuries, and allergic reactions.
Here are the different types of fever:
Here are the different types of fever:
1.0K
Pharmacokinetics: Drug–Drug Interactions
349
Drug interactions occur when the pharmacological effect of one drug is altered by another substance, either enhancing or diminishing its activity. The drug whose activity is altered is known as the object drug, and the substance causing the alteration is called the agent drug or the precipitant. The net effects of these interactions are mostly undesirable, leading to decreased effectiveness or increased adverse effects. In rare cases, interactions can be beneficial, such as the enhanced...
349
Pharmacokinetics: Drug–Food and Drug–Viral Interactions
202
A drug interaction occurs when the concurrent use of another drug, food, or an external substance alters the pharmacological activity of a drug. This interaction can modify the action of the original drug, affecting its effectiveness and safety.Drug–food interactions are significant as they impact drug absorption, metabolism, and excretion. For example, grapefruit juice is a well-known disruptor of drug metabolism. It inhibits the cytochrome P450 3A4 enzyme, crucial for the metabolism of...
202


