Fever in the Postoperative Patient - 27/10/13

Doi : 10.1016/j.emc.2013.07.011

Mayur Narayan, MD, MPH, MBA ^a,^b,^⁎ , Sandra P. Medinilla, MD, MPH ^c
^a Department of Surgery, Center for Injury Prevention & Policy, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, 22 South Greene Street, Baltimore, MD 21201, USA
^b Program in Trauma, Center for Injury Prevention & Policy, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, 22 South Greene Street, Baltimore, MD 21201, USA
^c Department of Surgery, Christiana Care Health Services, 4735 Ogletown-Stanton Road, Medical Arts Pavilion II, Suite 3301, Newark, DE 19713, USA

^∗Corresponding author. Department of Surgery, Center for Injury Prevention & Policy, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, 22 South Greene Street, Baltimore, MD 21201.

Résumé

Postprocedure fevers vary in the timing of their occurrence, duration, and severity. Such fevers do not all have an infectious cause, but they all require thorough investigation to rule out life-threatening conditions. This article summarizes the principles of diagnosis and management of postprocedure fevers for the emergency care provider.

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Keywords : Fever, Inflammation, Atelectasis, Urinary tract infection, Pneumonia, Necrotizing soft-tissue infection, Intra-abdominal abscess, Clostridium difficile