Hyperpyrexia
| Hyperpyrexia, NOS | |
| ICD-10 | R50.9 |
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| ICD-9 | 780.6 |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Hyperpyrexia is an excessive and unusual elevation of set body temperature greater than or equal to 41.1° Celsius (106°F), or extremely high fever. It differs from hyperthermia in that the body's temperature regulation mechanism sets the body temperature too high, whereas in hyperthermia the body temperature is too high above the set point.
Differential Diagnosis of Causes of Hyperpyrexia
Some of the more common causes of hyperpyrexia include: [1] [2]
- excessive exposure to heat or the sun (also called heat hyperpyrexia, a part of heatstroke)
- amphetamine or other stimulant abuse, which can aggravate the effects of heat hyperpyrexia
- withdrawal from barbiturates, alcohol, or other anxiolytics, although it is less common with benzodiazepines
- septicemia (a generalized bacterial infection of the blood)
- some viral infections, such as mononucleosis
- a thyrotoxic crisis (in hyperthyroidism)
- Malignant hyperpyrexia is a particular condition caused by the breakdown of muscle following its over-excitation, in response to certain stimuli, such as extreme exercise (especially in a high ambient temperature), intense and prolonged convulsions, anesthesia, fever or some drugs, such as cocaine, alcohol and aspirin.
- Neuroleptic malignant syndrome (NMS) can also cause hyperprexia after the administration of antipsychotic drugs.
External links
Symptoms and signs: circulatory (R00–R03, 785) | |||||||
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| Cardiovascular |
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| Myeloid/blood |
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Symptoms and signs: respiratory system (R04–R07, 786) | |
|---|---|
| Hemorrhage | * Epistaxis |
| Abnormalities of breathing | ; Respiratory sounds: |
| Other | * Asphyxia |
| Chest, general | * Chest pain |
Symptoms and signs: skin and subcutaneous tissue (R20-R23, 782) | |
|---|---|
| Disturbances of skin sensation | Hypoesthesia - Paresthesia - Hyperesthesia |
| Other | Rash - Cyanosis - Pallor - Flushing - Petechia - Desquamation - Induration - Diaphoresis |
Symptoms and signs: nervous and musculoskeletal systems (R25-R29, 781) | |
|---|---|
| Abnormal involuntary movements (see also movement disorders) | Tremor - Spasm - Fasciculation - Athetosis |
| Gait abnormality | Scissor gait - Antalgic gait - Cerebellar ataxia - Festinating gait - Pigeon gait - Propulsive gait - Steppage gait - Stomping gait - Spastic gait - Myopathic gait - Magnetic gait - Trendelenburg gait |
| Lack of coordination | Ataxia (Cerebellar ataxia, Sensory ataxia) - Dysmetria - Dysdiadochokinesia - Hypotonia |
| Other | Tetany - Meningism - Hyperreflexia - Opisthotonus - Abnormal posturing - Hemispatial neglect |
Symptoms and signs: urinary system (R30-R39, 788) | |
|---|---|
| General | Renal colic - Dysuria - Vesical tenesmus - Urinary incontinence - Urinary retention - Oliguria - Polyuria - Nocturia - Extravasation of urine - Extrarenal uremia |
Symptoms and signs: cognition, perception, emotional state and behaviour (R40-R46, 780-781) | |
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| General | Anxiety - Somnolence - Coma - Amnesia (Anterograde amnesia, Retrograde amnesia) - Dizziness/Vertigo |
| Olfaction | Anosmia - Parosmia |
| Taste | Ageusia - Parageusia |
Symptoms and signs: Speech and voice (R47-R49, 784) | |
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| Aphasia/Dysphasia | Expressive aphasia - Receptive aphasia - Conduction aphasia |
| Other speech disturbances | Dysarthria - Schizophasia |
| Symbolic dysfunctions | Dyslexia - Alexia - Agnosia (Prosopagnosia) - Apraxia - Acalculia - Agraphia |
| Voice disturbances | Dysphonia - Aphonia |
Symptoms and signs: general (R50-R69, 780-789) | |
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| General | Fever (Hyperpyrexia) - Headache - Chronic pain - Malaise/Fatigue (Asthenia, Debility) - Fainting (Vasovagal syncope) - Febrile seizure - Shock (Cardiogenic shock) - Lymphadenopathy - Edema (Peripheral edema, Anasarca) - Hyperhidrosis (Sleep hyperhidrosis) - Delayed milestone - Failure to thrive - Short stature (Idiopathic) - food and fluid intake (Anorexia, Polydipsia, Polyphagia) - Cachexia - Xerostomia - Clubbing - Tenderness |
Symptoms and signs: Symptoms concerning nutrition, metabolism and development (R62–R64, 783) | |
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| Ingestion/Weight | |
| Growth | Delayed milestone • Failure to thrive • Short stature (e.g., Idiopathic) |
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