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On the other hand, a "normal" temperature may be a fever, if it is unusually high for that person; for example, medically frail elderly people have a decreased ability to generate body heat, so a "normal" temperature of 37.3 °C (99.1 °F) may represent a clinically significant fever.
An early morning temperature higher than 37.3 °C (99.1 °F) or a late afternoon temperature higher than 37.7 °C (99.9 °F) is normally considered a fever, assuming that the temperature is elevated due to a change in the hypothalamus's setpoint. [15] Lower thresholds are sometimes appropriate for elderly people. [15]
Owing to multiple factors, such as frailty, impaired efficacy of swallowing, decreased cough reflex and neurological complications, dysphagia can be considered as a geriatric syndrome. [29] Atypical presentation is common in the elderly. Older patients may have impaired T cell function and hence, they may be unable to mount a febrile response.
Babies and other young children, as well as the elderly and people with chronic kidney and heart problems, need to visit the doctor sooner rather than later to make sure they are keeping hydrated.
“The infection might only be in one part of the body and not affect the core temperature enough to cause a fever,” Cohan says. “Other things, like how sensitive each person is to temperature ...
Fever is the most common presenting symptom in sepsis, but fever may be absent in some people such as the elderly or those who are immunocompromised. [20] The drop in blood pressure seen in sepsis can cause lightheadedness and is part of the criteria for septic shock. [21]
It is classified as either community or hospital acquired depending on where the patient contracted the infection. It is life-threatening in the elderly or those who are immunocompromised. [13] [14] The most common treatment is antibiotics and these vary in their adverse effects and their effectiveness.
In elderly people, confusion may be the most prominent sign. [9] The typical signs and symptoms in children under five are fever, cough, and fast or difficult breathing. [23] Fever is not very specific, as it occurs in many other common illnesses and may be absent in those with severe disease, malnutrition or in the elderly.
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