Fever in pulmonary embolism

Köktürk, Nurdan; Demir, Nalan; Oğuzülgen, I. Kıvılcım; Demirel, Koray; Ekim, Numan

doi:10.1097/01.mbc.0000172693.77610.10

Cited by 16 publications

(21 citation statements)

References 12 publications

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“…Furthermore, PE-related fever usually subsides after anticoagulant treatment, whereas the addition of antibiotics does not provide any additional benefit. 4,9 The features of PE-related fever are similar to postoperative fever. Most early postoperative fevers (within the first 48 hours after surgery) have no clearly defined infectious cause and resolve without therapy.…”

Section: Clinical Significance Of Fever During Pementioning

confidence: 61%

“…2,5 The presence of a slight inflammatory response is indirectly confirmed by the concomitant increase of serum markers of inflammation. 4,6 The presence of a modest leucocytosis (rarely exceedingly 20 000/mm 3 ) during the first hospital week is not uncommon, being described in up to 20% of patients with PE who have no other possible or defined cause of leucocytosis. 2,7 The differential white blood cell count usually remains normal, only rarely showing a slight neutrophilia.…”

Section: Clinical Significance Of Fever During Pementioning

confidence: 99%

“…3 PErelated fever is usually low-grade, rarely exceeding 38.3°C, and shortlived, reaching its peak the same day on which the PE occurs and gradually disappearing within 1 week. [2][3][4] The pathogenesis of PE-related fever has not yet been fully clarified. It has been suggested that 1 or a combination of a variety of potential pyrogenic mechanisms occurs: infarction and tissue necrosis, hemorrhage, local vascular irritation or inflammation, atelectasis, or selflimited occult superinfections.…”

Section: Clinical Significance Of Fever During Pementioning

confidence: 99%

“…7 Similarly, a slight increase in erythrocyte sedimentation rate and in C-reactive protein can also be observed. 4,8 True PE-related fever is not associated with the extension of vascular obstruction and does not have any prognostic role 4,6 ; its presence should not dissuade the clinician from diagnosing PE and initiating appropriate therapy. Furthermore, PE-related fever usually subsides after anticoagulant treatment, whereas the addition of antibiotics does not provide any additional benefit.…”

Section: Clinical Significance Of Fever During Pementioning

confidence: 99%

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Pulmonary Embolism and Fever

et al. 2007

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Section: Clinical Significance Of Fever During Pementioning

confidence: 61%

Section: Clinical Significance Of Fever During Pementioning

confidence: 99%

Section: Clinical Significance Of Fever During Pementioning

confidence: 99%

Section: Clinical Significance Of Fever During Pementioning

confidence: 99%

See 2 more Smart Citations

Pulmonary Embolism and Fever

et al. 2007

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“…Previous studies have shown that fever accompanies VTE in a wide range of patients [11][12][13]. Fever associated to VTE has been reported as usually low grade, but in some patients a higher temperature has also been observed.…”

Section: Discussionmentioning

confidence: 94%

Fever and deep venous thrombosis. Findings from the RIETE registry

Barba

Micco

Blanco-Molina

et al. 2011

J Thromb Thrombolysis

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Fever is a presenting sign in some patients with acute deep venous thrombosis (DVT), but its influence on outcome has not been thoroughly investigated. RIETE is an ongoing, international, observational registry of consecutive patients with symptomatic, objectively confirmed, acute venous thromboembolism. The aim of the present study was to assess the prevalence of fever in patients with acute DVT, and to compare their outcome during the first month of therapy, according to the presence or absence of fever. As of September 2009, 14,480 patients with symptomatic DVT have been enrolled in RIETE. Of these, 707 (4.9%) had fever at presentation. During the 30-day study period, 448 patients (3.1%) died, 171 (1.2%) developed DVT recurrences, 376 (2.6%) had pulmonary embolism, and 384 (2.6%) had a major bleeding. Patients initially presenting with fever had a higher mortality (5.8% vs. 2.9%; odds ratio: 2.6; 95% CI 1.9-3.5) than those without fever. Among the causes of death, pulmonary embolism (0.7% vs. 0.1%) and infection (1.1% vs. 0.3%) were significantly more common in patients presenting with fever. Multivariate analysis confirmed that DVT patients with fever had an increased mortality (hazard ratio: 2.00; 95% CI 1.44-2.77) irrespectively of the patient's age, body weight, and risk factors for VTE. Fever is not uncommon in patients with DVT, and carries a worse outcome.This study is conducted for the RIETE investigators. A full list of RIETE investigators is given in the Appendix.

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Fever as a Complication of Maxillofacial Surgery

Crisp

Steed

2017

Perioperative Assessment of the Maxillofacial Surgery Patient

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Fever in pulmonary embolism

Cited by 16 publications

References 12 publications

Pulmonary Embolism and Fever

Pulmonary Embolism and Fever

Fever and deep venous thrombosis. Findings from the RIETE registry

Fever as a Complication of Maxillofacial Surgery

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