Emergency medicine clinics of North America
-
Emerg. Med. Clin. North Am. · Nov 2013
ReviewFever and the rational use of antimicrobials in the emergency department.
Any patient presenting to the emergency department (ED) with fever triggers consideration of the administration of an antimicrobial. Empiric antimicrobial therapy has become a cornerstone of treatment. ⋯ This article aims to provide a systems-based approach to prescribing antimicrobials to patients presenting to the ED with fever, while understanding the risk associated with overutilization. An understanding of the key considerations is needed to ensure that decisions are made well and appropriate treatment begins promptly.
-
Emerg. Med. Clin. North Am. · Nov 2013
ReviewHyperthermia caused by drug interactions and adverse reactions.
Drug-induced hyperthermic syndromes are similar to heat illness. The purpose of this article is to discuss the drugs associated with the development of these syndromes and to review their pathophysiology, clinical manifestations, and management.
-
Fever is one of the most common reasons for the emergency department presentation of immunocompromised patients. Their differential diagnosis can be broad and includes rare or unexpected pathogens. ⋯ This article reviews the diagnosis and management of fevers in patients immunocompromised by human immunodeficiency virus/AIDS, solid-organ and hematopoietic transplants, chemotherapy-induced neutropenia, and tumor necrosis factor-α inhibitors. Prompt recognition of the type of immunosuppression and delineation of possible causes of fever are critical for management of these complex patients.