[Hyperthermia in meningeal hemorrhage. Contribution of daily determination of inflammation proteins].

Agressologie

Département d'anesthésie-réanimation-U 800 réanimation Hôpital neurologique, Lyon.

Published: June 1990

This paper studies the causes of hyperthermias occurring after a subarachnoid hemorrhage by ruptured aneurysm in 54 patients, totalizing 66 febrils episodes. Only 29 episodes bacteriologically proved infections. The profile of thermic curve, the hemodynamical profile, and clinical examination are not convincing. The most convincing elements for the diagnosis of infection are the increasing number of the leucocytes counts, the increasing curve of CRP, and simultaneous decreasing curve of C4. The evolution of these parameters permit to follow the efficiency of antibiotics.

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