High Fever, Nausea, and General Malaise

Author(s):  
Stephen McGhee ◽  
Juan M. Gonzalez ◽  
Johis Ortega ◽  
Dianne Morrison-Beedy
Keyword(s):  
2007 ◽  
Vol 12 (38) ◽  
Author(s):  
B Stewart-Freedman ◽  
N Kovalsky

On 4 August, a 22-year-old male tourist from London presented at a hospital in Jerusalem, Israel with general malaise, a high fever and a blotchy maculopapular rash over his face trunk and limbs, including palms and soles.


BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e049069
Author(s):  
Atsushi Miyawaki ◽  
Takahiro Tabuchi ◽  
Yasutake Tomata ◽  
Yusuke Tsugawa

ObjectiveTo investigate the association between participation in government subsidies for domestic travel (subsidise up to 50% of all travel expenses) introduced nationally in Japan on 22 July 2020 and the incidence of symptoms indicative of COVID-19 infections.DesignCross-sectional analysis of nationally representative survey data.SettingInternet survey conducted between 25 August and 30 September 2020 in Japan. Sampling weights were used to calculate national estimates.Participants25 482 survey respondents (50.3% (12 809) women; mean (SD) age, 48.8 (17.4) years).Main outcome measuresIncidence rate of five symptoms indicative of the COVID-19 infection (high fever, sore throat, cough, headache, and smell and taste disorder) within the past month of the survey, after adjustment for characteristics of individuals and prefecture fixed effects (effectively comparing individuals living in the same prefecture).ResultsAt the time of the survey, 3289 (12.9%) participated in the subsidy programme. After adjusting for potential confounders, we found that participants in the subsidy programme exhibited higher incidence of high fever (adjusted rate, 4.7% for participants vs 3.7% for non-participants; adjusted OR (aOR) 1.83; 95% CI 1.34 to 2.48; p<0.001), sore throat (19.8% vs 11.3%; aOR 2.09; 95% CI 1.37 to 3.19; p=0.002), cough (19.0% vs 11.3%; aOR 1.96; 95% CI 1.26 to 3.01; p=0.008), headache (29.2% vs 25.5%; aOR 1.24; 95% CI 1.08 to 1.44; p=0.006) and smell and taste disorder (2.6% vs 1.8%; aOR 1.98; 95% CI 1.15 to 3.40; p=0.01) compared with non-participants. These findings remained qualitatively unaffected by additional adjustment for the use of 17 preventative measures (eg, social distancing, wearing masks and handwashing) and fear against the COVID-19 infection.ConclusionsThe participation of the government subsidy programme for domestic travel was associated with a higher probability of exhibiting symptoms indicative of the COVID-19 infection.


2005 ◽  
Vol 164 (7) ◽  
pp. 453-454 ◽  
Author(s):  
Banu Acar ◽  
Z. Birsin Özcakar ◽  
Selcuk Yüksel ◽  
Tugba Pekacar ◽  
Mesiha Ekim ◽  
...  
Keyword(s):  

1981 ◽  
Vol 10 (4) ◽  
pp. 361-374 ◽  
Author(s):  
Fanny M. Cheung ◽  
Bernard W. K. Lau ◽  
Edith Waldmann

Depressive illness was a common clinical syndrome found in general practice in Hong Kong. The phenomenon of somatization among Chinese depressives in general practice was investigated. Patients clinically identified as depressed were compared with organic patients in terms of their presenting complaints and responses to a symptom checklist. Sleep disturbances, general malaise, pains and aches, dizziness, and menopausal symptoms were the most frequent disturbances that prompted Chinese depressives to seek help in general practice. When directly asked, these patients admitted having various psychological features including dysphoric mood, self-reproach, loss of interest in social activities and in sex. Subgroup comparisons showed little sex difference in initial complaints and admitted symptomatology among the depressives. Some age differences were observed in the presenting complaints. The discrepancy between the pattern of presenting complaints and admitted symptoms suggested that patients were aware of their emotional disturbance even though they tended to express these disturbances in somatic terms in their help-seeking processes. Distinction between the expression mode and the recognition mode of somatization was discussed.


2021 ◽  
Vol 24 (9) ◽  
pp. 280-282
Author(s):  
Margherita Piqué ◽  
Elisabetta Ladisa ◽  
Luca Brasili ◽  
Giovanni Putoto ◽  
Lorenzo Iughetti

Typhoid fever continues to be a major public health problem in developing countries and mortality is mainly related to its most frequent complication, namely: intestinal perforation. The paper presents the case of a 12-year-old girl with abdominal pain associated with watery diarrhoea, vomiting, fever and general malaise for two weeks. Typhoid fever was suspected, therefore therapy with ceftriaxone was started. Clinical conditions were worsening, so X-ray of the abdomen was performed with evidence of hydro-aerial levels and ultrasound showing abundant non-homogeneous echogenic material in the pelvic cavity, consistent with purulent ascites. Exploratory laparotomy was performed showing an isolated perforation of the ileus, which was sutured. In the postoperative period, antibiotic therapy was boosted with metronidazole and gentamicin. Due to the wound dehiscence, surgical revision with secondary tension sutures was necessary.


PEDIATRICS ◽  
1968 ◽  
Vol 41 (5) ◽  
pp. 954-954
Author(s):  
Jonathan Binns ◽  
T. E. C.

Few letters written by either English or American eighteenth century physicians about the treatment of sick infants have come down to us. Most of our information about the care of such infants comes from the handful of pediatric texts published in that century. The letter below, written by Dr. Jonathan Binns in 1772 to the parents of his ailing 11-month-old nephew, starkly points out the therapeutic limitations of pediatric practice two centuries ago. The infant about whom this letter was written had a high fever and was lethargic. So far as I can judge from little Tommy's case, I think it proper that he continues sucking. If he would take any other sustenance I would advise you to give him a little red or white wine every day. He may, at different times, take about one Glass; but be very cautious of it if his eyes be somewhat sore and inflamed. Red port is preferable to white, provided he is sufficiently open in his belly. You might also try him to take once a day a few spoonfuls of weak broth made of the lean part of beef or mutton.1


2021 ◽  
pp. practneurol-2020-002912
Author(s):  
Mathilde Pauls ◽  
Mantegh Singh ◽  
Peter Martin

A 73-year-old man presented with unsteadiness and general malaise and later had problems with cognition. This was initially diagnosed as benign paroxysmal positional vertigo, but he was later found to have giant cell arteritis. Neurologists and physicians should be aware that giant cell arteritis can present with encephalopathy rather than the more typical features of headache, jaw pain and visual disturbance.


2021 ◽  
Vol 2 (1) ◽  
pp. 13-41
Author(s):  
Tshabalala Makhosini ◽  
Kadodo Webster

The present article seeks to validate Bulawayo's We Need New Names as a credible alternative to the official national historiography. It attempts to achieve this feat by obtaining answers to two key questions. The first is whether Bulawayo is fair to indict everyone (even perceived victims) for the general malaise that bedevils her nameless dystopian republic. The second question seeks insights on whether the novelist's sex guarantees women some exemption from the finger pointing that Darling otherwise executes with the candor of a death-row judge, albeit in her naive gravity-defying buoyancy. In search for answers to these questions, the researchers first analyze the portrayal of white people in Bulawayo’s unnamed postcolonial state. It then juxtaposes the presentation of the post-independence rulers of the fictional state with that of the suffering masses with the intention to justify, or otherwise, why both perceived victims and culprits are held culpable to the malaise that obtains. Finally, the research examines how women in Africa (and of Africa) are juxtaposed to women in the west. This last part encapsulates problematizing the brand of Darling’s cosmopolitanism as a possible commentary on both the home she abandons and the one she adopts. Since the underlying objective of the study is to test Bulawayo’s We Need New Names as a credible alternative to the metanarrative, parallels are drawn between events and narratives in Bulawayo’s nameless republic and those in the milieu from which her text emerges in its trans-continental settings.


Author(s):  
Ross Petty ◽  
Farhad Salehzadeh
Keyword(s):  

2015 ◽  
Vol 14 (3) ◽  
pp. 299-301
Author(s):  
Suman Das ◽  
Dilip Kumar Paul ◽  
Anish Chatterjee ◽  
Sumantra Raut

A 28 days old neonate presented with high fever, abdominal distension, poor feeding and lethargy. Sepsis screen was positive; ultrasound and computed tomography of the abdomen demonstrated a multiloculated hepatic abcess in the right lobe of the liver. The baby was treated with intravenous antibiotics for 6 weeks and percutaneous aspiration of the abcess, resulting in excellent recovery.Bangladesh Journal of Medical Science Vol.14(3) 2015 p.299-301


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