Identify prolonged fever caused by fungus

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Long-lasting fungal fever is caused by a fungal agent. Persistent fungal fever usually lasts for weeks, in some cases, for months. Persistent fungal fever may be due to bacteremia due to candida albicans or torulose.

1. What is a persistent fungal fever?

Fever is a condition when the body temperature is above 37.5 degrees Celsius in the mouth and over 38 degrees Celsius in the anus. Fever is not a disease but a symptom of many causes. One of the main causes is viruses and bacteria. Persistent fever is a common syndrome in the infectious disease department. The main feature is fever, some other signs are usually not and if they are, they are very faint.
Long-lasting fungal fever is caused by a fungal agent. Persistent fungal fever usually lasts for weeks, in some cases, for months. Persistent fungal fever may be due to bacteremia due to candida albicans or torulose.

2. Identify prolonged fever caused by fungus

To identify prolonged fever caused by fungus, the patient can rely on the following signs:
For bacteremia caused by Candida albicans: Symptoms of fever are erratic, very short fevers 1-2 times a day and it usually occurs with serious illnesses such as blood diseases or HIV infection and long-term intravenous antibiotic use. Diagnosis of bacteremia caused by Candida albicans is based on oral thrush, peri-catheter infection, skin fungus, and fungal metastases in the kidney, endocardium, lung, meninges, and eyes.... In this case. Blood culture shows a fungal infection, serologically positive. Torulose (Cryptococcus) usually occurs in frail people with underlying medical conditions such as Hodgkin's disease, cancer, blood disease, or sarcoidosis. In addition, the patient has signs of encephalopathy - prolonged meningoencephalitis, increased CSF cells due to lymphocytes; presence of the fungus Cryptococcus neoformans ; palpable lymph nodes are enlarged, hepatosplenomegaly. In this case, the patient usually dies after a few months if the fungal infection is not diagnosed and treated promptly.

3. Taking care of patients with prolonged fever caused by fungi

People with persistent fever generally need care to relieve symptoms caused by fever. Because fever can cause dehydration, affecting the patient's health. Caring for a patient with a long-lasting fungal fever includes:
Appropriate antipyretic:
Fever is a response, not a disease: Fever helps the patient's body increase all activities to fight infection, support the immune system specific and non-specific. Therefore, fever is a protective factor, it is not necessary to reduce fever with drugs, because antipyretic drugs can cause blood damage, reduce immunity and reduce resistance, overshadowing the typical clinical picture. which makes the diagnosis difficult. However, in some cases, especially with children, because the body temperature has not been stabilized, if the fever is too high, it can cause convulsions. Therefore, if necessary, physical measures can be used, wearing loose and airy clothes, preventing febrile seizures with sedatives and using antipyretic drugs. Add enough water for people with prolonged fever:
People with prolonged fever will often lack water, leading to the risk of dehydration. Normally, a person needs to meet a sufficient amount of water including: 250ml of endogenous water in metabolism, daily intake of water, 70% of solid food intake, amount of water excreted in urine and feces. the amount of wastewater through the respiratory tract (700ml), the amount of water that evaporates through the skin. Thus, it is necessary to supplement about 2-3 liters per day for people with prolonged fever, until the urine output reaches 1 liter/day. For children, dehydration can also cause a high fever. Therefore, it is necessary to add enough circulating water to ensure good heat dissipation. Eat enough, pay attention to protein:
People with prolonged fever will often have digestive disorders. Symptoms of digestive disorders include loss of appetite, nausea and vomiting, loose stools or some cases of constipation.... Not eating enough nutrients will lead to rapid weight loss due to protein in the damaged tissues. consumption. Therefore, the higher the fever, the higher the protein requirement. Protein requirements for people with prolonged fever are enough to eat about 2,100 - 3,000 calories/day. About vitamins should take vitamins as usual. Because in febrile people, vitamins are not broken down more than in healthy people, so it is necessary for people with fever to eat many meals for a long time. Diet for patients with prolonged fever due to fungal infections plays an important role in the treatment of the disease.

Immobilization:
In patients with persistent fever, absolute immobilization is not recommended unless contraindicated to avoid thromboembolic events. Therefore, it is possible for the patient to sit in a chair for several hours a day. About treatment:
In some necessary cases, treatment drugs can be used to try. However, the drug trial needs to have enough documents about the patient's history, medical condition, symptoms, and tests, even though there is no accurate diagnosis. To make the diagnosis and treatment easier later, it is necessary to avoid indiscriminate and hasty use. At the same time, it is necessary to screen for the cause of fungal infections and treat them early for patients with prolonged fever, prolonged antibiotic use and long hospital stay. In short, patients need to go to a reputable hospital to conduct examination and treatment as soon as there are signs of prolonged fever due to fungus. Currently, Vinmec International General Hospital is one of the leading prestigious hospitals in the country, trusted by a large number of patients for medical examination and treatment. Not only the physical system, modern equipment: 6 ultrasound rooms, 4 DR X-ray rooms (1 full-axis machine, 1 light machine, 1 general machine and 1 mammography machine) , 2 DR portable X-ray machines, 2 multi-row CT scanner rooms (1 128 rows and 1 16 arrays), 2 Magnetic resonance imaging rooms (1 3 Tesla and 1 1.5 Tesla), 1 room for 2 levels of interventional angiography and 1 room to measure bone mineral density.... Vinmec is also the place to gather a team of experienced doctors and nurses who will greatly assist in diagnosis and detection. early signs of abnormality in the patient's body. In particular, with a space designed according to 5-star hotel standards, Vinmec ensures to bring the patient the most comfort, friendliness and peace of mind.

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