Fatal Fever of Unknown Origin in Acute Cervical Spinal Cord Injury: Five Cases

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Ülger F., Dilek A., Karakaya D., Şenel A., Sarihasan B.

JOURNAL OF SPINAL CORD MEDICINE, vol.32, no.3, pp.343-348, 2009 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 32 Issue: 3
  • Publication Date: 2009
  • Doi Number: 10.1080/10790268.2009.11760788
  • Journal Name: JOURNAL OF SPINAL CORD MEDICINE
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.343-348
  • Keywords: Spinal cord injuries, Fever, Hyperthermia, Hyperpyrexia, Quad fever, Thermoregulation, Autonomic dysfunction, Tetraplegia, NEUROLEPTIC MALIGNANT SYNDROME, INTENSIVE-CARE-UNIT, HYPERTHERMIA
  • Ondokuz Mayıs University Affiliated: Yes

Abstract

Background/Objective: Patients with traumatic upper thoracic and cervical spinal cord injuries are at increased risk for the development of autonomic dysfunction, including thermodysregulation. Thermoregulation is identified as an autonomic function, although the exact mechanisms of thermodysregulation have not been completely recognized. Quad fever is a hyperthermic thermoregulatory disorder that occurs in people with acute cervical and upper thoracic spinal cord injuries. First described in 1982, it has not been widely discussed in the literature.