Although a fever technically is any body
temp
erature above the normal of 98.6 degrees F. (37 degrees C.), in
practice a person is usually not considered to have a significant
fever until the temperature is above 100.4 degrees F (38 degrees
C.).
Fever is part of the body's own disease-fighting arsenal: rising body
temperatures apparently are capable of killing off many disease-
producing organisms. For that reason, low fevers should normally go
untreated, although you may need to see your doctor to be sure if the
fever is accompanied by any other troubling symptoms. As fevers range
to 104 degrees F and above, however, there can be unwanted
consequences, particularly for children. These can include delirium
and convulsions. A fever of this sort demands immediate home
treatment and then medical attention. Home treatment possibilities
include the use of aspirin or, in children, non-aspirin pain-killers
such as acetaminophen, cool baths, or sponging to reduce the fever
while seeking medical help. Fever may occur with almost any type of
infection of illness. The temperature is measured with a thermometer.
Fever has been used as a tool to treat disease by deliberately
raising the temperature of the patient's body. Fever therapy was
pioneered by the Austrian neuropsychiatrist Julius
Wagner von Jauregg (1857-1940). He inoculated malaria into his
patients with dementia paralytica, the third and final stage
of syphilis when it affects the nervous system and brain; the
patients not surprisingly developed a high fever; and the fever
halted the relentless course of the syphilis. "For his discovery of
the therapeutic value of malaria inoculation
in the treatment of dementia paralytica" Wagner
von Jauregg received the Nobel Prize in Physiology or Medicine in
1927.
Induced-fever therapy is rarely, if ever, employed today. However,
sometimes a patient with a very high fever from an infection upon
recovery from the infection enters into a most improbable remission
from an
unrelated disease or is even cured of it! (This writer has cared for
two
such remarkable patients.)
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