Prolonged fever due to deep purulent infection

This is an automatically translated article.

The article is professionally consulted by Master, Doctor Le Thi Minh Huong - Doctor of Resuscitation - Emergency, Department of Resuscitation - Emergency, Vinmec Nha Trang International General Hospital

Prolonged fever due to deep purulent infection is one of the common causes of persistent fever. The fovea of ​​infected pus is sometimes difficult to detect, the deeper the fovea, the more frequent and thorough examination is required for proper diagnosis and treatment.

1. What is a prolonged fever due to a deep purulent infection?

Persistent fever is a common symptom in infectious and medical diseases. It is noteworthy that there are some cases of prolonged fever for which no cause can be found, despite being cared for for many months and monitored in conditions with modern equipment and techniques. Therefore, in case of prolonged fever with no clear cause, the patient should be monitored at the infectious disease department.
Prolonged fever due to deep purulent infection is one of the causes of prolonged fever. The fovea of ​​infected pus is sometimes difficult to detect, the deeper the fovea, the more frequent and thorough examination is required for proper diagnosis and treatment.

2. The cause of prolonged fever is a deep purulent infection

Prolonged fever due to deep purulent infection has many causes, these causes will cause different symptoms for the patient. Some causes of prolonged fever due to deep purulent infection include:
Subdiaphragmatic abscess causes prolonged fever due to deep purulent infection: Subdiaphragmatic abscess causes prolonged fever due to deep purulent infection usually due to Caused by metastatic sepsis, in some cases it may be secondary to gastric perforation, gastric bypass surgery, surgery on the transverse colon or may also be due to biliary tract infection. Diagnosis of this cause is often based on the high thrust, non-moving diaphragm and especially adjacent pleurisy. Hepatobiliary abscess causes prolonged fever due to deep purulent infection: Usually, gallstones have a pseudo-malarial fever and rapidly relapsing symptoms of the disease. In addition to the false malaria, the disease also has faint or sometimes absent, erratic symptoms such as liver abscess on the dome or in the middle of the liver; No signs of hepatomegaly were found, so the diagnosis will be based on signs of the diaphragm to find the cause of persistent fever. Urinary tract abscess causes prolonged fever: Urinary tract abscess is one of the causes of prolonged fever in deep infected purulent foci. Urinary tract abscesses will lead to perinephritis and infectious calyces, causing prolonged and repeated pseudomalarial fevers, urine tests showing leukocytosis, positive double blood cultures and Gram-negative bacteria, urinary tract scan to detect stones. In the case of chronic urinary tract infections, urinalysis will show white blood cells, casts, and infection. Genitourinary tract infections causing prolonged fever: Genital tract infections often lead to prolonged fever due to deep purulent infection. Some causes of genital tract infections are due to retained placenta after abortion, chronic inflammation of the fallopian tubes, which causes the patient to have a prolonged fever due to a deep purulent infection. Infectious pus-filled deep outside the abdomen causing prolonged fever: In some cases of brain abscess in the forehead or posterior fossa, the patient will have symptoms of prolonged fever, weakness and vomiting. Deep foci of infection are usually in the tonsils, roof of the nose, or ears. In the case of tooth infection, it will not cause pain, besides, the patient also has pulpitis, periodontitis or granuloma around the apex.

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 health of the patient. Caring for a patient with persistent fever due to a deep purulent infection includes:
Appropriate antipyretic:
Fever is a response, not a disease. Fever helps the patient's body increase all activities to fight infections, support specific and non-specific immune systems. 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. thereby leading to difficulty in diagnosing the cause of prolonged fever due to deep purulent infection; 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 convulsions 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/day for people with prolonged fever, until the urine output reaches 1 liter/day. For children, dehydration can also cause a high fever. Therefore, when there is a prolonged fever due to a deep purulent infection, it is necessary to add enough circulating water to ensure good heat dissipation. Eat enough, pay attention to protein:
People with prolonged fever in general and prolonged fever due to a deep infection of pus 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 people with fever, vitamins will not be 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 prolonged fever due to deep purulent infection should not be absolutely immobilized, if there is no contraindication to immobilization to avoid thrombosis due to coagulation, it is best to do gentle activities. For example, you can have the patient sit in a chair for several hours a day.

About treatment:
In some necessary cases, prolonged fever due to deep purulent infection can be treated with drugs. However, the drug treatment needs to have enough documents about the patient's medical history, medical condition, symptoms, and tests. In order to make the diagnosis and treatment easier in the future, it is necessary to avoid indiscriminate and hasty drug use. 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 deep purulent infection. 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 level interventional angiography and 1 room for bone mineral density measurement... Vinmec is also the place to gather a team of experienced doctors and nurses who will greatly assist in diagnosis and early detection. abnormal signs of 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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