ICJEM
Intercontinental Journal of Emergency Medicine

The Intercontinental Journal of Emergency Medicine aims to publish issues related to all fields of emergency medicine and all specialties involved in the management of emergencies in the hospital and prehospital environment of the highest scientific and clinical value at an international level and accepts articles on these topics. This journal is indexed by indices that are considered international scientific journal indices (DRJI, ESJI, OAJI, etc.). According to the current Associate Professorship criteria, it is within the scope of International Article 1-d. Each article published in this journal corresponds to 5 points.

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Original Article
Infectious causes and outcomes of patients with high fever in the emergency department
Abstract
Aims: The aim of this study is to investigate the reasons for presentation, diagnoses, and outcomes of patients with high fever in the emergency department.
Methods: This research is a retrospective study planned by examining the files and data of patients who presented to the emergency department between 01.03.2021 and 01.03.2023, and whose body temperature was above 38 degrees Celsius. Patient data was analyzed from patient files and the Hospital Information Management System (HIMS). The demographic characteristics, vital signs at admission, reasons for presentation, diagnoses, and outcomes of patients with complete data from patient files and HIMS were investigated.
Results: Of the 288 patients included in the study, 151 (52.4%) were male, and the mean age was 47.04 ± 18.75. When examining the reasons for patients' presentation to the emergency department, 79 (27.4%) patients presented with sore throat, and 44 (15.3%) patients presented with fever. When examining the final diagnoses of patients, acute tonsillopharyngitis was the most common diagnosis with 99 (34.4%) patients, followed by 30 (10.4%) patients with Covid-19. Regarding the outcomes of patients, 190 (66%) patients were discharged from the emergency department, 63 (21.9%) were admitted to the ward, and 26 (9%) were admitted to the intensive care unit.
Conclusion: Cases with high fever in the emergency department encompass a wide range of conditions, ranging from mild viral upper respiratory tract infections to potentially fatal infections such as meningoencephalitis and myocarditis. Therefore, in febrile cases in the emergency department, serious infectious causes should be considered in terms of the focus of fever. Additionally, non-infectious causes should also be kept in mind as they can cause high fever.

Keywords : Body temperature changes, fever, fever etiology

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Article available in :
Volume 2, Issue 1, 2024
Page : 16-19
https://doi.org/10.51271/ICJEM-0029
Article Information
Received : 21 Ara 2023
Accepted : 09 Mar 2024
Published : 17 Mar 2024
Corresponding Author :

Bülent Demir: Department of Emergency Medicine, Faculty of Medicine, Manisa Celal Bayar University, Manisa, Turkiye

[email protected]
Citation : Şaşmaz Mİ, Demir B. Infectious causes and outcomes of patients with high fever in the emergency department. Intercont J Emerg Med. 2024;2(1):16-19.

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