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PYREXIA IN HOSPITALIZED SPINAL-CORD INJURY PATIENTS
Author(s): BERALDO PSS, NEVES EGC, ALVES CMF, KHAN P, CIRILO ACM, ALENCAR MRB
Source: PARAPLEGIA    Volume: 31    Issue: 3    Pages: 186-191    Published: MAR 1993  
Times Cited: 17     References: 0     
Abstract: To discover the frequency of pyrexia in spinal cord injury (SCI) patients in the Hospital for Medicine of the Locomotor System (HMLS/SARAH), a review study was undertaken. For a period of 3 months, all new episodes of fever were recorded. During the study 221.3 patients/Month were observed. The age ranged from 14 to 60 years and time of lesion from 1 to 6,264 days: 85 patients were paraplegia or paraparetic, and 44 tetraplegic or tetraparetic. At the beginning of the study 10.8% of the patients had fever. During follow up, we observed a rate of 33.9 new incidences per 100 patients/Month. In 77.3% only one cause was identified, and in 8% no cause could be defined. The commonest causes were urinary tract infection (UTI) (44.3%), and soft tissue infections (11.4%). Frequent causes of fever in the acute stage other than UTI were complications related to the initial trauma and thromboembolic disease (p < 0.05). These results demonstrate the high incidence of fever in patients with SCI, in addition to providing a useful approach for diagnosis and management.
Document Type: Article
Language: English
Reprint Address: BERALDO, PSS (reprint author), HOSP MED LOCOMOTOR SYST, SARAH, BRASILIA, DF BRAZIL
Publisher: STOCKTON PRESS, HOUNDMILLS, BASINGSTOKE, HAMPSHIRE, ENGLAND RG21 6XS
Subject Category: Clinical Neurology; Orthopedics
IDS Number: KU236
ISSN: 0031-1758
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