Unexplained recurrent high fever observed in a depressed adolescent
Abstract Background Depressive episodes in adolescents are often accompanied by various physical symptoms, but few studies have explored the association between depression and fever, This case study is the first to report the relationship between unexplained recurrent high fever and depression. Case...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-04-01
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| Series: | BMC Psychiatry |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12888-024-05705-3 |
| _version_ | 1797199298263252992 |
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| author | Xunyi Guo Yuning Li Lu Bai Feng Lin Jing Chen Tao Zou |
| author_facet | Xunyi Guo Yuning Li Lu Bai Feng Lin Jing Chen Tao Zou |
| author_sort | Xunyi Guo |
| collection | DOAJ |
| description | Abstract Background Depressive episodes in adolescents are often accompanied by various physical symptoms, but few studies have explored the association between depression and fever, This case study is the first to report the relationship between unexplained recurrent high fever and depression. Case presentation H is a 15 year old adolescent female currently in junior year. 2 + months ago, H gradually felt depressed after a class change. Around the time, the patient suddenly developed chills with no obvious trigger and fever. H was treated with anti-infective and anti-viral treatments all of which did not show significant improvement. No significant abnormality was seen in any of the related examinations. Considering that the patient’s anxiety, depression and somatic symptoms were obvious during the course of the disease, she was given venlafaxine hydrochloride extended-release capsule 75 mg/d; tandospirone citrate capsule 10 mg Bid; alprazolam tablets 0.4 mg qn to improve mood and sleep; supplemented with transcranial repetitive magnetic stimulation therapy 2 times/d; visible light therapy 1 time/d and psychological counseling once. Over the 6 days of treatment, the patient’s body temperature gradually returned to the normal range and her mood improved significantly. Conclusion Depression should be considered a potential cause of unexplained recurrent fevers in adolescents, even when the temperature is significantly outside the normal range. |
| first_indexed | 2024-04-24T07:13:32Z |
| format | Article |
| id | doaj.art-e2f57af6c0c643b1b8067baf5b3d9781 |
| institution | Directory Open Access Journal |
| issn | 1471-244X |
| language | English |
| last_indexed | 2024-04-24T07:13:32Z |
| publishDate | 2024-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Psychiatry |
| spelling | doaj.art-e2f57af6c0c643b1b8067baf5b3d97812024-04-21T11:26:18ZengBMCBMC Psychiatry1471-244X2024-04-012411510.1186/s12888-024-05705-3Unexplained recurrent high fever observed in a depressed adolescentXunyi Guo0Yuning Li1Lu Bai2Feng Lin3Jing Chen4Tao Zou5Department of Psychiatry, The Affiliated Hospital of Guizhou Medical UniversityDepartment of Psychiatry, The Affiliated Hospital of Guizhou Medical UniversityDepartment of Clinical Medicine, Guizhou Medical UniversityDepartment of Clinical Medicine, Guizhou Medical UniversityDepartment of Psychiatry, The Affiliated Hospital of Guizhou Medical UniversityDepartment of Psychiatry, The Affiliated Hospital of Guizhou Medical UniversityAbstract Background Depressive episodes in adolescents are often accompanied by various physical symptoms, but few studies have explored the association between depression and fever, This case study is the first to report the relationship between unexplained recurrent high fever and depression. Case presentation H is a 15 year old adolescent female currently in junior year. 2 + months ago, H gradually felt depressed after a class change. Around the time, the patient suddenly developed chills with no obvious trigger and fever. H was treated with anti-infective and anti-viral treatments all of which did not show significant improvement. No significant abnormality was seen in any of the related examinations. Considering that the patient’s anxiety, depression and somatic symptoms were obvious during the course of the disease, she was given venlafaxine hydrochloride extended-release capsule 75 mg/d; tandospirone citrate capsule 10 mg Bid; alprazolam tablets 0.4 mg qn to improve mood and sleep; supplemented with transcranial repetitive magnetic stimulation therapy 2 times/d; visible light therapy 1 time/d and psychological counseling once. Over the 6 days of treatment, the patient’s body temperature gradually returned to the normal range and her mood improved significantly. Conclusion Depression should be considered a potential cause of unexplained recurrent fevers in adolescents, even when the temperature is significantly outside the normal range.https://doi.org/10.1186/s12888-024-05705-3Adolescent depressionHigh feverFever of unknown originStress |
| spellingShingle | Xunyi Guo Yuning Li Lu Bai Feng Lin Jing Chen Tao Zou Unexplained recurrent high fever observed in a depressed adolescent BMC Psychiatry Adolescent depression High fever Fever of unknown origin Stress |
| title | Unexplained recurrent high fever observed in a depressed adolescent |
| title_full | Unexplained recurrent high fever observed in a depressed adolescent |
| title_fullStr | Unexplained recurrent high fever observed in a depressed adolescent |
| title_full_unstemmed | Unexplained recurrent high fever observed in a depressed adolescent |
| title_short | Unexplained recurrent high fever observed in a depressed adolescent |
| title_sort | unexplained recurrent high fever observed in a depressed adolescent |
| topic | Adolescent depression High fever Fever of unknown origin Stress |
| url | https://doi.org/10.1186/s12888-024-05705-3 |
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