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Peter J. Wolk, MD; Michael A. Apicella, MD

Arch Intern Med. 1978;138(7):1084-1085.

Abstract
The febrile responses of 73 bacteremic patients were retrospectively studied using peak temperatures and 24-hour areas under the fever curve on the day of the positive cultures. These responses were compared to their respective creatinine clearances calculated with the Nielsen-Hansen nomogram. Patients with clearances 80 ml/min had a significantly greater febrile response than those with clearances 29 ml/min (P <.025). Patients with clearances between these groups had responses that were in a mid position but not significantly different from either group. We conclude that patients with impaired renal function do manifest fever in response to infection, but that it is quantitatively less than those with normal renal function. Because of this blunted response, minimal elevations of temperature in such patients warrant a diligent search for the presence of infection.

(Arch Intern Med 138:1084-1085, 1978)

Author Affiliations
From the Department of Medicine, State University of New York at Buffalo.

Footnotes
Accepted for publication Sept 16, 1977.

Reprint requests to Division of Infectious Diseases, State University of New York at Buffalo, 462 Grider St, Buffalo, NY 14215 (Dr Apicella).

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