Shivering Health Dictionary

Shivering: From 1 Different Sources


Involuntary trembling of the entire body that is caused by rapid contraction and relaxation of muscles. Shivering is the body’s normal automatic response to cold; contraction of muscles generates heat. Shivering also occurs in fever.
Health Source: BMA Medical Dictionary
Author: The British Medical Association

Fever

Fever, or PYREXIA, is the abnormal rise in body TEMPERATURE that frequently accompanies disease in general.

Causes The cause of fever is the release of fever-producing proteins (pyrogens) by phagocytic cells called monocytes and macrophages, in response to a variety of infectious, immunological and neoplastic stimuli. The lymphocytes (see LYMPHOCYTE) play a part in fever production because they recognise the antigen and release substances called lymphokines which promote the production of endogenous pyrogen. The pyrogen then acts on the thermoregulatory centre in the HYPOTHALAMUS and this results in an increase in heat generation and a reduction in heat loss, resulting in a rise in body temperature.

The average temperature of the body in health ranges from 36·9 to 37·5 °C (98·4 to 99·5 °F). It is liable to slight variations from such causes as the ingestion of food, the amount of exercise, the menstrual cycle, and the temperature of the surrounding atmosphere. There are, moreover, certain appreciable daily variations, the lowest temperature being between the hours of 01.00 and 07.00 hours, and the highest between 16.00 and 21.00 hours, with tri?ing ?uctuations during these periods.

The development and maintenance of heat within the body depends upon the metabolic oxidation consequent on the changes continually taking place in the processes of nutrition. In health, this constant tissue disintegration is exactly counterbalanced by the consumption of food, whilst the uniform normal temperature is maintained by the adjustment of the heat developed, and of the processes of exhalation and cooling which take place, especially from the lungs and skin. During a fever this balance breaks down, the tissue waste being greatly in excess of the food supply. The body wastes rapidly, the loss to the system being chie?y in the form of nitrogen compounds (e.g. urea). In the early stage of fever a patient excretes about three times the amount of urea that he or she would excrete on the same diet when in health.

Fever is measured by how high the temperature rises above normal. At 41.1 °C (106 °F) the patient is in a dangerous state of hyperpyrexia (abnormally high temperature). If this persists for very long, the patient usually dies.

The body’s temperature will also rise if exposed for too long to a high ambient temperature. (See HEAT STROKE.)

Symptoms The onset of a fever is usually marked by a RIGOR, or shivering. The skin feels hot and dry, and the raised temperature will often be found to show daily variations – namely, an evening rise and a morning fall.

There is a relative increase in the pulse and breathing rates. The tongue is dry and furred; the thirst is intense, while the appetite is gone; the urine is scanty, of high speci?c gravity and containing a large quantity of solid matter, particularly urea. The patient will have a headache and sometimes nausea, and children may develop convulsions (see FEBRILE CONVULSION).

The fever falls by the occurrence of a CRISIS – that is, a sudden termination of the symptoms – or by a more gradual subsidence of the temperature, technically termed a lysis. If death ensues, this is due to failure of the vital centres in the brain or of the heart, as a result of either the infection or hyperpyrexia.

Treatment Fever is a symptom, and the correct treatment is therefore that of the underlying condition. Occasionally, however, it is also necessary to reduce the temperature by more direct methods: physical cooling by, for example, tepid sponging, and the use of antipyretic drugs such as aspirin or paracetamol.... fever

Rigor

Shivering. If prolonged, it is generally accompanied by fever, and may be a sign of the onset of some acute disease such as INFLUENZA, PNEUMONIA, or some internal in?ammation. Rigor mortis is the name given to the sti?ness that ensues soon after death. (See DEATH, SIGNS OF; MUSCLE.)... rigor

Hypothermia

A core body temperature of less than 35 °C. As the temperature of the body falls, there is increasing dysfunction of all the organs, particularly the central nervous and cardiovascular systems. The patient becomes listless and confused, with onset of unconsciousness between 33–28 °C. Cardiac output at ?rst rises with shivering but then falls progressively, as do the oxygen requirements of the tissues. Below 17– 26 °C, cardiac output is insu?cient even to supply this reduced demand for oxygen by the tissues. The heart is susceptible to spontaneous ventricular FIBRILLATION below 28 °C. Metabolism is disturbed and the concentration of blood GLUCOSE and POTASSIUM rises as the temperature falls. Cooling of the kidneys produces a DIURESIS and further ?uid loss from the circulation to the tissues causes HYPOVOLAEMIA.

Severe hypothermia is sometimes complicated by gastric erosions and haemorrhage, as well as pancreatitis (see PANCREAS, DISORDERS OF). Infants and the elderly are less e?cient at regulating temperature and conserving heat than other age groups, and are therefore more at risk from accidental hypothermia during cold weather if their accommodation is not warm enough. Approximately half a million elderly people are at risk in Britain each winter from hypothermia. The other major cause of accidental hypothermia is near-drowning in icy water. Deliberate hypothermia is sometimes used to reduce metabolic rate so that prolonged periods of cardiac arrest may occur without tissue HYPOXIA developing. This technique is used for some cardiac and neurosurgical operations and is produced by immersion of the anaesthetised patient in iced water or by cooling an extracorporeal circulation.

Treatment of hypothermia is by warming the patient and treating any complications that arise. Passive warming is usual, with conservation of the patient’s own body heat with insulating blankets. If the core temperature is below 28 °C, then active rewarming should be instituted by means of warm peritoneal, gastric or bladder lavage or using an extracorporeal circulation. Care must be taken in moving hypothermic patients, as a sudden rush of cold peripheral blood to the heart can precipitate ventricular ?brillation. Prevention of hypothermia in the elderly is important. Special attention must be paid to diet, heating the home and adequate clothing in several layers to limit heat loss.... hypothermia

Ague

A term once used for an acute fever, particularly with alternating heat and shivering, i.e., malaria. See: FEVER, MALARIA, etc. ... ague

Malaria

Notifiable disease. The world’s No 1 public health enemy. Affects 108 nations. Still kills millions of people each year. Probably has claimed more lives than all the wars of history. In the 1960s was believed to have been eradicated but has made a dramatic reappearance due to the malaria-carrying mosquito’s resistance to insecticides. Few modern drugs have proved a match for malaria; quinine drugs of proven reliability still used. Quinine (Peruvian bark) has a history of safety and efficacy.

The disease is transmitted by the anopheles protozoa. Old cases present with fever, jaundice, diarrhoea and confusion.

Symptoms: incubation 2-5 weeks. Onset sudden, with shivering and high fever (104°F), headache, vomiting. Symptoms recur every 2-3 days. Blood sample examination confirms.

Treatment. Drugs once useful in the fight against malaria are losing their effectiveness. Drug resistance becomes a major problem; in which case the remedies of antiquity have something to offer.

Alternatives. Yarrow was once regarded as the Englishman’s Quinine. Nettle tea (Dr Compton Burnett). Prickly Ash (Ellingwood). Barberry, Chiretta, Peruvian bark BHP (1983). Mountain Grape (Berberis aquifolium) (Ellingwood). Wild Indigo, cases of extreme prostration (Dr Wm Boericke).

Sweet Wormwood. The Chinese Qing Hao (Artemisia annua) proved beneficial for millennia before Quinine arrived on the scene. Its re-discovery by Professor Nelson is declared ‘very effective’.

Formula. Liquid Extracts: Boneset 1; Yarrow 1; Barberry half; Valerian half. Few drops Tincture Capsicum. Dose: 1-2 teaspoons every 2 hours.

Malaria was rife in parts of America, especially Arkansus. During the Civil War it was difficult to obtain Quinine and various alternatives were tried. Where symptoms of chills and intermittent fever presented, Gelsemium gained considerable reputation as a substitute, also as a preventative. A favourite prescription was three drops tincture in a little brandy every 2-3 hours before the chill, and repeated every hour.

Dr M.H. Grannell, Sinaloa, Mexico. “I do not doubt that I treat more malaria than any other five physicians in the United States. My sole remedy, unless other indications present themselves, is Gelsemium. I give the following with never-failing results: 30 drops Tincture Gelsemium in 4oz water. Dose: 1 teaspoon hourly.” (Ellingwood, June 1920)

Thomas Nuttall, botanist. In 1819, when on tour in Arkansus, relieved a malarial attack with decoction of Boneset.

David Hoffman, MNIMH. 1 teaspoon Peruvian bark in each cup boiling water; infuse 30 minutes. Thrice daily.

Diet. 3-day fast.

Treatment by or in liaison with a general medical practitioner. ... malaria

Adrenergic Receptors

The sites in the body on which ADRENALINE and comparable stimulants of the SYMPATHETIC NERVOUS SYSTEM act. Drugs which have an adrenaline-like action are described as being adrenergic. There are ?ve di?erent types of adrenergic receptors, known as alpha1, alpha2, beta1, beta2 and beta3 respectively. Stimulation of alpha receptors leads to constriction of the bronchi, constriction of the blood vessels with consequent rise in blood pressure, and dilatation of the pupils of the eyes. Stimulation of beta1 receptors quickens the rate and output of the heart, while stimulation of beta2 receptors dilates the bronchi. Beta3 receptors are now known to mediate so-called non-shivering thermogenesis, a way of producing heat from specialised fat cells that is particularly relevant to the human infant.

For long it had been realised that in certain cases of ASTHMA, adrenaline had not the usual bene?cial e?ect of dilating the bronchi during an attack; rather it made the asthma worse. This was due to its acting on both the alpha and beta adrenergic receptors. A derivative, isoprenaline, was therefore produced which acted only on the beta receptors. This had an excellent e?ect in dilating the bronchi, but unfortunately also affected the heart, speeding it up and increasing its output – an undesirable e?ect which meant that isoprenaline had to be used with great care. In due course drugs were produced, such as salbutamol, which act predominantly on the beta2 adrenergic receptors in the bronchi and have relatively little e?ect on the heart.

The converse of this story was the search for what became known as BETA-ADRENOCEPTORBLOCKING DRUGS, or beta-adrenergic-blocking drugs. The theoretical argument was that if such drugs could be synthesised, they could be of value in taking the strain o? the heart – for example: stress ? stimulation of the output of adrenaline ? stimulation of the heart ? increased work for the heart. A drug that could prevent this train of events would be of value, for example in the treatment of ANGINA PECTORIS. Now there is a series of beta-adrenoceptor-blocking drugs of use not only in angina pectoris, but also in various other heart conditions such as disorders of rhythm, as well as high blood pressure. They are also proving valuable in the treatment of anxiety states by preventing disturbing features such as palpitations. Some are useful in the treatment of migraine.... adrenergic receptors

Chickenpox

Also known as varicella. An acute, contagious disease predominantly of children – although it may occur at any age – characterised by fever and an eruption on the skin. The name, chickenpox, is said to be derived from the resemblance of the eruption to boiled chickpeas.

Causes The disease occurs in epidemics affecting especially children under the age of ten years. It is due to the varicella zoster virus, and the condition is an extremely infectious one from child to child. Although an attack confers life-long immunity, the virus may lie dormant and manifest itself in adult life as HERPES ZOSTER or shingles.

Symptoms There is an incubation period of 14–21 days after infection, and then the child becomes feverish or has a slight shivering, or may feel more severely ill with vomiting and pains in the back and legs. Almost at the same time, an eruption consisting of red pimples which quickly change into vesicles ?lled with clear ?uid appears on the back and chest, sometimes about the forehead, and less frequently on the limbs. These vesicles appear over several days and during the second day may show a change of their contents to turbid, purulent ?uid. Within a day or two they burst, or, at all events, shrivel up and become covered with brownish crusts. The small crusts have all dried up and fallen o? in little more than a week and recovery is almost always complete.

Treatment The fever can be reduced with paracetamol and the itching soothed with CALAMINE lotion. If the child has an immune disorder, is suffering from a major complication such as pneumonia, or is very unwell, an antiviral drug (aciclovir) can be used. It is likely to be e?ective only at an early stage. A vaccine is available in many parts of the world but is not used in the UK; the argument against its use is that it may delay chickenpox until adult life when the disease tends to be much more severe.... chickenpox

Erysipelas

A streptococcal infection (see STREPTOCOCCUS) of the skin characterised by an acute onset with fever, malaise and a striking, usually unilateral, rash (see ERUPTION) almost always on a lower leg or the face. Shivering, local pain and tenderness are associated with a sharply de?ned, spreading, bright red swollen zone of skin in?ammation. On the leg, blistering and PURPURA may follow. The bacteria enter the skin through a ?ssure in a toe cleft (often associated with tinea pedis [RINGWORM]) or via a crack in the skin behind an ear or in a nostril.

Treatment PENICILLIN in full dosage should be given orally for ten days. In those allergic to penicillin, ERYTHROMYCIN can be substituted. Recurrent attacks are common and may cause progressive lymphatic damage leading to chronic OEDEMA. Such recurrences can be prevented by long-term prophylactic oral penicillin.... erysipelas

Septicaemia

A serious condition caused by the presence of micro-organisms in the bloodstream. A very high temperature may be the only sign, but there is often associated shivering (rigor), profuse sweating and pains in the joints and muscles. If the condition is not brought to a halt by the early use of high-dose antibiotics, preferably given intravenously, SEPTIC SHOCK may supervene and the patient’s life be put at risk. Any infected area of the body may progress to septicaemia if untreated.... septicaemia

Chill

A shivering attack accompanied by chattering teeth, pale skin, goose pimples, and feeling cold. Chill frequently precedes a fever. Repeated or severe shivering suggests serious illness.... chill

Heroin

A narcotic drug similar to morphine. When used for medical purposes, it is generally known as diamorphine. Heroin is a white or brownish powder that can be smoked, sniffed, or dissolved in water and injected.

As well as having an analgesic effect, heroin produces sensations of warmth, calmness, drowsiness, and a loss of concern for outside events. Long-term use of the drug causes tolerance and psychological and physical dependence (see drug dependence; heroin abuse). Sudden withdrawal produces shivering, abdominal cramps, diarrhoea, vomiting, and restlessness.... heroin

Relapsing Fever

An illness caused by infection with spirochaetes. Relapsing fever is transmitted to humans by ticks or lice and is characterized by high fever. It does not occur in the.

A high fever of up to 40°C suddenly develops, with shivering, headache, muscle pains, nausea, and vomiting. The symptoms persist for 3–6 days, culminating in a crisis with a risk of collapse and death. The person then apparently recovers but suffers another attack 7–10 days later. If tick-borne, there may be several such relapses, each progressively milder.

The spirochaetes can be seen in a blood smear, and they can be eliminated with antibiotic drugs.... relapsing fever

Temperature

The degree of hotness of a body or substance. In the human body, the temperature must be maintained at around 37°C for optimum functioning. Body temperature is maintained by the hypothalamus, which monitors blood temperature and activates mechanisms to compensate for changes. When body temperature falls, shivering creates heat by muscle activity, and constriction of blood vessels in the skin minimizes heat loss. When the body temperature rises, sweating results in cooling, and dilation of blood vessels in the skin increases heat loss.... temperature

Legionnaire’s Disease

A form of PNEUMONIA due to a bacterium known as Legionella pneumophila, so-called because the ?rst identi?ed outbreak was in a group of US ex-servicemen (members of the American Legion). Inhalation of water aerosols seems the most likely way that people acquire the disease, for example from air-conditioning outlets. Some rubber outlets in showers and taps are able to support the growth of legionnellae so that high concentrations of the organism are released when the tap is ?rst used in the morning. In the presence of the disease, the treatment of infected water systems is essential by cleaning, chlorination, heating or a combination of all three.

The pneumonia caused by legionnellae has no distinctive clinical or radiological features, so that the diagnosis is based on an antibody test performed on a blood sample. There is no evidence that the disease is transmitted directly from person to person. The incubation period is 2–10 days; the disease starts with aches and pains followed rapidly by a rise in temperature, shivering attacks, cough and shortness of breath. The X-ray tends to show patchy areas of consolidation in the lungs. Erythromycin and rifampicin are the most useful antibiotics, although rifampicin should never be given alone because of the rapid development of drug resistance.... legionnaire’s disease

Nervous System

This extensive, complex and ?nely tuned network of billions of specialised cells called neurones (see NEURON(E)) is responsible for maintaining the body’s contacts with and responses to the outside world. The network also provides internal communication links – in concert with HORMONES, the body’s chemical messengers – between the body’s diverse organs and tissues, and, importantly, the BRAIN stores relevant information as memory. Each neurone has a ?lamentous process of varying length called an AXON along which passes messages in the form of electrochemically generated impulses. Axons are bundled together to form nerves (see NERVE).

The nervous system can be likened to a computer. The central processing unit – which receives, processes and stores information and initiates instructions for bodily activities – is called the central nervous system: this is made up of the brain and SPINAL CORD. The peripheral nervous system – synonymous with the cables that transmit information to and from a computer’s processing unit – has two parts: sensory and motor. The former collects information from the body’s many sense organs. These respond to touch, temperature, pain, position, smells, sounds and visual images and the information is signalled to the brain via the sensory nerves. When information has been processed centrally, the brain and spinal cord send instructions for action via motor nerves to the ‘voluntary’ muscles controlling movements and speech, to the ‘involuntary’ muscles that operate the internal organs such as the heart and intestines, and to the various glands, including the sweat glands in the skin. (Details of the 12 pairs of cranial nerves and the 31 pairs of nerves emanating from the spinal cord are given in respective texts on brain and spinal cord.)

Functional divisions of nervous system As well as the nervous system’s anatomical divisions, the system is divided functionally, into autonomic and somatic parts. The autonomic nervous system, which is split into sympathetic and parasympathetic divisions, deals with the automatic or unconscious control of internal bodily activities such as heartbeat, muscular status of blood vessels, digestion and glandular functions. The somatic system is responsible for the skeletal (voluntary) muscles (see MUSCLE) which carry out intended movements initiated by the brain – for example, the activation of limbs, tongue, vocal cords (speech), anal muscles (defaecation), urethral sphincters (urination) or vaginal muscles (childbirth). In addition, many survival responses – the most powerfully instinctive animal drives, which range from avoiding danger and pain to shivering when cold or sweating when hot – are initiated unconsciously and automatically by the nervous system using the appropriate neural pathways to achieve the particular survival reaction required.

The complex functions of the nervous system include the ability to experience emotions, such as excitement and pleasure, anxiety and frustration, and to undertake intellectual activities. For these experiences an individual can utilise many built-in neurological programmes and he or she can enhance performance through learning – a vital human function that depends on MEMORY, a three stage-process in the brain of registration, storage and recall. The various anatomical and functional divisions of the nervous system that have been unravelled as science has strived to explain how it works may seem confusing. In practical terms, the nervous system works mainly by using automatic or relex reactions (see REFLEX ACTION) to various stimuli (described above), supplemented by voluntary actions triggered by the activity of the conscious (higher) areas of the brain. Some higher functions crucial to human activity – for example, visual perception, thought, memory and speech – are complex and subtle, and the mechanisms are not yet fully understood. But all these complex activities rest on the foundation of relatively simple electrochemical transmissions of impulses through the massive network of billions of specialised cells, the neurones.... nervous system

Body Temperature

the temperature of the body, as measured by a thermometer. Body temperature is accurately controlled by a small area at the base of the brain (the *hypothalamus); in normal individuals it is maintained at about 37°C (98.4°F). Heat production by the body arises as the result of vital activities (e.g. respiration, heartbeat, circulation, secretion) and from the muscular effort of exercise and shivering. A rise in body temperature occurs in fever.... body temperature

Perinephritis

n. inflammation of the tissues around the kidney. This is usually due to spread of infection from the kidney itself (see pyelonephritis; pyonephrosis). The patient has pain in the loins, fever, and fits of shivering. Prompt treatment of the underlying renal infection is required to prevent progression to an abscess.... perinephritis

Pyelitis

n. inflammation of the pelvis of the kidney (the part of the kidney from which urine drains into the ureter). This is usually caused by a bacterial infection, which may develop in any condition causing obstruction to the flow of urine. The patient experiences pain in the loins, shivering, and a high temperature. Treatment is by the administration of a suitable antibiotic, together with analgesics and a high fluid intake. Any underlying abnormality of the urinary system must be relieved to prevent further attacks.... pyelitis

Pleurisy

In?ammation of the PLEURA or serous membrane investing the lung and lining the inner surface of the ribs. It is a common condition, and may be either acute or chronic, the latter being usually tuberculous in origin (see TUBERCULOSIS).

Many cases of pleurisy are associated with only a little e?usion, the in?ammation consisting chie?y in exudation of FIBRIN: to this form the term ‘dry pleurisy’ is applied. Further, pleurisy may be limited to a very small area – or, on the contrary, may affect, throughout a greater or less extent, the pleural surfaces of both lungs.

Causes Pleurisy is often associated with other forms of in?ammatory disease within the chest, more particularly PNEUMONIA, BRONCHIECTASIS, and tuberculosis; it occasionally accompanies PERICARDITIS. It may also be due to carcinoma of the lung, or be secondary to abdominal infections such as subphrenic abscess. Further, wounds or injuries of the thoracic walls are apt to set up pleurisy.

Symptoms The symptoms of pleurisy vary, being generally well marked, but sometimes obscure. DRY PLEURISY In the case of dry pleurisy, which is, on the whole, the milder form, the chief symptom is a sharp pain in the side, felt especially on breathing. Fever may or may not be present. There is a slight, dry cough, and breathing is quicker than normal and shallow. PLEURISY WITH EFFUSION is usually more severe than dry pleurisy, and, although it may in some cases develop insidiously, it is in general ushered in sharply by shivering and fever, like other acute in?ammatory diseases. Pain is felt in the side or breast, of a severe cutting or stabbing character. A dry cough usually occurs and breathing is painful and di?cult.

Treatment The treatment varies greatly with the form and severity of the attack. Bed rest, antibiotics, analgesics and antipyretics are advisable. A large pleural e?usion may need to be drained via an aspiration needle.... pleurisy

Rheumatic Fever

An acute febrile illness, usually seen in children, which may include ARTHRALGIA, ARTHRITIS, CHOREA, carditis (see below) and rash (see ERUPTION). The illness has been shown to follow a beta-haemolytic streptococcal infection (see STREPTOCOCCUS).

Rheumatic fever is now extremely uncommon in developed countries, but remains common in developing areas. Diagnosis is based on the presence of two or more major manifestations – endocarditis (see under HEART, DISEASES OF), POLYARTHRITIS, chorea, ERYTHEMA marginatum, subcutaneous nodules – or one major and two or more minor ones – fever, arthralgia, previous attacks, raised ESR, raised white blood cell count, and ELECTROCARDIOGRAM (ECG) changes. Evidence of previous infection with streptococcus is also a criterion.

Clinical features Fever is high, with attacks of shivering or rigor. Joint pain and swelling (arthralgia) may affect the knee, ankle, wrist or shoulder and may migrate from one joint to another. TACHYCARDIA may indicate cardiac involvement. Subcutaneous nodules may occur, particularly over the back of the wrist or over the elbow or knee. Erythema marginatum is a red rash, looking like the outline of a map, characteristic of the condition.

Cardiac involvement includes PERICARDITIS, ENDOCARDITIS, and MYOCARDITIS. The main long-term complication is damage to the mitral and aortic valves (see HEART).

The chief neurological problem is chorea (St Vitus’s dance) which may develop after the acute symptoms have subsided.

Chronic rheumatic heart disease occurs subsequently in at least half of those who have had rheumatic fever with carditis. The heart valve usually involved is the mitral; less commonly the aortic, tricuspid and pulmonary. The lesions may take 10–20 years to develop in developed countries but sooner elsewhere. The heart valves progressively ?brose and ?brosis may also develop in the myocardium and pericardium. The outcome is either mitral stenosis or mitral regurgitation and the subsequent malfunction of this or other heart valves affected is chronic failure in the functioning of the heart. (see HEART, DISEASES OF).

Treatment Eradication of streptococcal infection is essential. Other features are treated symptomatically. PARACETAMOL may be preferred to ASPIRIN as an antipyretic in young children. One of the NON-STEROIDAL ANTIINFLAMMATORY DRUGS (NSAIDS) may bene?t the joint symptoms. CORTICOSTEROIDS may be indicated for more serious complications.

Patients who have developed cardiac-valve abnormalities require antibiotic prophylaxis during dental treatment and other procedures where bacteria may enter the bloodstream. Secondary cardiac problems may occur several decades later and require replacement of affected heart valves.... rheumatic fever

Pyelonephritis

n. bacterial infection of the kidney substance. In acute pyelonephritis, the patient has pain in the loins, a high temperature, and shivering fits. Treatment is by the administration of an appropriate antibiotic, and a full urological investigation is conducted to determine any underlying abnormality and prevent recurrence. In chronic pyelonephritis, the kidneys become small and scarred and kidney failure ensues. *Vesicoureteric reflux in childhood is one of the causes.... pyelonephritis

Rubella

Rubella, or German measles, is an acute infectious disease of a mild type, which may sometimes be di?cult to di?erentiate from mild forms of MEASLES and SCARLET FEVER.

Cause A virus spread by close contact with infected individuals. Rubella is infectious for a week before the rash appears and at least four days afterwards. It occurs in epidemics (see EPIDEMIC) every three years or so, predominantly in the winter and spring. Children are more likely to be affected than infants. One attack gives permanent IMMUNITY. The incubation period is usually 14–21 days.

Symptoms are very mild, and the disease is not at all serious. On the day of onset there may be shivering, headache, slight CATARRH with sneezing, coughing and sore throat, with very slight fever – not above 37·8 °C (100 °F). At the same time the glands of the neck become enlarged. Within 24 hours of the onset a pink, slightly raised eruption appears, ?rst on the face or neck, then on the chest, and the second day spreads all over the body. The clinical signs and symptoms of many other viral infections are indistinguishable from rubella so a precise diagnosis cannot be made without taking samples (such as saliva) for antibody testing, but this is rarely done in practice.

An attack of German measles during the early months of pregnancy may be responsible for CONGENITAL defects in the FETUS (for information on fetal abnormalities, see under PREGNANCY AND LABOUR). The incidence of such defects is not precisely known, but probably around 20 per cent of children whose mothers have had German measles in the ?rst three months of the pregnancy are born with congenital defects. These defects take a variety of forms, but the most important ones are: low birth weight with retarded physical development; malformations of the HEART; cataract (see under EYE, DISORDERS OF); and DEAFNESS.

Treatment There is no speci?c treatment. Children who develop the disease should not return to school until they have recovered, and in any case not before four days have passed from the onset of the rash.

In view of the possible dangerous e?ect of the disease upon the fetus, particular care should be taken to isolate pregnant mothers from contact with infected subjects. As the risk is particularly high during the ?rst 16 weeks of pregnancy, any pregnant mother exposed to infection during this period should be given an intramuscular injection of GAMMA-GLOBULIN. A vaccine is available to protect an individual against rubella (see IMMUNISATION).

In the United Kingdom it is NHS policy for all children to have the combined measles, mumps and rubella vaccine (see MMR VACCINE), subject to parental consent. All women of childbearing age, who have been shown by a simple laboratory test not to have had the disease, should be vaccinated, provided that the woman is not pregnant at the time and has not been exposed to the risk of pregnancy during the previous eight weeks.... rubella

Scarlet Fever

This disorder is caused by the erythrogenic toxin of the STREPTOCOCCUS. The symptoms of PYREXIA, headache, vomiting and a punctate erythematous rash (see ERYTHEMA) follow a streptococcal infection of the throat or even a wound. The rash is symmetrical and does not itch. The skin subsequently peels.

Symptoms The period of incubation (i.e. the time elapsing between the reception of infection and the development of symptoms) varies somewhat. In most cases it lasts only two to three days, but in occasional cases the patient may take a week to develop his or her ?rst symptoms. The occurrence of fever is usually short and sharp, with rapid rise of temperature to 40 °C (104 °F), shivering, vomiting, headache, sore throat and marked increase in the rate of the pulse. In young children, CONVULSIONS or DELIRIUM may precede the fever. The rash usually appears within 24 hours of the onset of fever and lasts about a week.

Complications The most common and serious of these is glomerulonephritis (see under KIDNEYS, DISEASES OF), which may arise during any period in the course of the fever, but particularly when DESQUAMATION occurs. Occasionally the patient develops chronic glomerulonephritis. Another complication is infection of the middle ear (otitis media – see under EAR, DISEASES OF). Other disorders affecting the heart and lungs occasionally arise in connection with scarlet fever, the chief of these being ENDOCARDITIS, which may lay the foundation of valvular disease of the heart later in life. ARTHRITIS may produce swelling and pain in the smaller rather than in the larger joints; this complication usually occurs in the second week of illness. Scarlet fever, which is now a mild disease in most patients, should be treated with PENICILLIN.... scarlet fever

Tea For Fever

Fever is a medical condition characterized by the elevation of body temperature above the normal range of 36.5-37.5 °C (98-100 °F). It is normally caused by an increase in the temperature regulatory set-point, which leads to increased muscle tone and shivering. Fever can be caused by several conditions: from benign to potentially serious issues. Treatment to reduce fever is not necessary, unless the temperature is very high. Antipyretic medications can lower the temperature. Hydration is vital in dealing with fever. How tea for fever works Tea for fever  is usually successful in lowering the body›s temperature. Efficient teas for fever Studies revealed that Echinacea tea and Anamu tea  are both efficient teas for fever. Echinacea is a herb found in the Unites States: from Texas to Alabama, and from Kansas to Nebraska. The flowers of the Echinacea plant are whitish rose to pale purple. It has brown fruiting heads and a thick, blackish root. Generally, it is known as an immunity enhancer. Echinacea tea is used to treat the common cold, influenza outbreaks and mild to moderate infections of all kinds. Echinacea beverage as a tea for fever contributes to lowering the fever, due to its anti-inflammatory action. To prepare Echinacea tea, infuse the leaves, stems, flowers and roots of the Echinacea plant in hot water. Steep them for 15 minutes. Strain it and drink it warm. Anamu tea is often chosen by consumers due to its anti-tumors and anti-cancer properties. As a tea for fever, Anamu beverage helps the body to fight against infections, boosting its immune system. It enables it to reduce the high temperature. To prepare Anamu tea, place 30 grams of the dried anamu plant in one liter of boiling water. Let it boil for 15 minutes. Take it out of the heat. Let the mix steep for a further 7 minutes. It can be taken three times a day. Anamu can also be found in powder tablet and capsules. Tea for fever: Side effects In large doses, teas for fever may cause side effects: vomiting, nausea, dizziness, heartburn. Teas for fever are good to be purchased instead of traditional drugs. They act as an immunity enhancer and may lower the fever, thus improving the general state of the patients.  ... tea for fever

Brucellosis

Undulant fever. An animal disease which may invade the human specie through contact with an infected animal (cattle, sheep, pigs, dogs or horses) or by consuming infected milk, cream or cheese. After drinking raw unpasteurised milk a hospital nurse suffered severe brucellosis; five patients quickly followed.

It is a disease of the slaughter house, veterinary surgeon, farm and meat trade worker. Young males are particularly at risk. In cows, infection may precipitate abortion of a calf but it does not affect the foetus in humans. May produce a rash on the arm of a vet handling a case.

Resembles glandular fever in the acute stage, with fever and high temperature, shivering, headache, profuse sweating, fatigue and anxiety-depression. Symptoms include enlargement of the spleen, liver, lymph glands, sore throat, possible rash, tremor and irritability. In long-standing cases a reactive arthritis may attack the joints. Often, it assumes an attack of influenza, its real nature remaining undiagnosed. Treatment. By medical practitioner. Herbal antibiotics may be regarded as a supportive role. Antibacterials: Garden Thyme, Garlic, Elecampane, Burdock root, Pulsatilla, Echinacea, Poke root, Myrrh, Goldenseal.

Tinctures. Formula. Blue Flag root 30ml; Poke root 15ml; Fringe Tree 30ml; Echinacea 60ml. Dose: 1-2 teaspoons in water every 2 hours (acute); 1 teaspoon thrice daily (chronic condition). ... brucellosis

Bubonic Plague

Though the Black Death is supposed to have passed into medical history, occasional cases are recorded which give rise to the question: “Could it really come again?”

In an atomic age the collapse of medical services provided by governments is not far removed from the bounds of possibility. Wars come and go, medical fashions change, what is regarded as scientific today, may be neglected to tomorrow’s superstition. It is possible this book may be consulted long after 20th century medicine has had its day.

The preventative remedy of history is Garlic. It was given to workers on the Great Pyramid of Cheops as a known antiseptic and prophylactic against infection. A riot ensued when supplies ran out. During the Great Plague under Charles II a colony of people escaped death, living to reveal their secret – all were in the habit of eating Garlic. It was later confirmed that the plague was not found in houses in which Garlic had been consumed.

The disease is spread by fleas from the black rat by the organism: bacillus pestis. Incubation period is two to five days, followed by severe headache, shivering, dizziness, fever and rapid pulse. Before delirium, the patient may have the ‘staggers’ and confused speech.

Glands of the body enlarge and may suppurate. Suppuration is a welcome sign indicating speedy elimination of pus. Haemorrhagic spots break out on the skin.

The most dangerous type is that which affects the lungs, known as ‘pneumonic’ and which is highly infectious; characterised by cyanosis (blueness of the face).

Occasionally there are human cases of Bubonic Plague in California and the West but today they seldom prove fatal. Public health officials point out that the incidence of the disease in China and Vietnam is lower than for centuries because of vaccine therapy. Wild animals still spread sporadic cases of the Plague.

Treatment: Health Authorities to be notified immediately and patient isolated. All bedding and personal effects to be destroyed or disinfected. Specialised nursing necessary. If hospital care is not available, the patient should receive treatment for collapse (Capsicum, Ginger or other circulatory stimulants).

In the absence of streptomycin and tetracycline, to which the organism yersinia is sensitive, powerful alternatives may assist: Echinacea, Wild Indigo, Poke root, Queen’s Delight, Sarsaparilla, Yellow Parilla, Goldenseal, Prickly Ash.

Topical. Poultice of Slippery Elm, Marshmallow, or both combined to promote suppuration. History records pulped fresh Plantain leaves.

To be treated by general medical practitioner or Infectious Diseases consultant. ... bubonic plague

Cinchona Bark

Peruvian bark. Jesuit’s bark. Cinchona officinalis L. Source of the alkaloid quinine used in the treatment of malaria. German: Chinabaum. French: Quinquina. Italian: China. Part used: stem-bark and root.

Constituents: quinoline alkaloids, (quinine is extracted from the bark) resin, tannins, glycosides.

Action: anti-protozoal, anti-cramp, anti-malarial, appetite stimulant, bitter, febrifuge, tonic.

Uses: Cinchona was named after the Countess of Cinchona, wife of the Viceroy of Peru who was cured of a malarial fever with the powdered bark. News of her recovery spread like wildfire through the high society circles of Europe which started a world demand for the bark.

Its temperature-reducing effect is felt by other fevers with shivering chill and violent shaking. Enlargement of the spleen due to abnormal destruction of blood cells. Iron-deficient anaemia. Atrial fibrillation of the heart. Alcoholism. Debility. For recovery from excessive diarrhoea, loss of blood and exhausting liver and gall bladder conditions. Persistent flatulence. Polymyalgia. Loss of appetite (with Hops).

Practitioner only use. The remedy is on the General Sales List, Schedule 2, Table A up to 50mg per dose (Rla); over 50mg per dose it is obtainable from a pharmacy only. Herbal practitioners are exempt up to 250mg per dose (750 daily).

Tincture (BPC 1949). Dose: 2 to 4ml.

Tonic Mineral Water. On open sale. A palatable way of taking quinine for malaria prevention. ... cinchona bark

Influenza

La grippe. An acute contagious viral infection. There are three distinct antigenic types, A, B and C. Droplet infection. Incubation period 48 hours.

Symptoms: chill, shivering, headache, sore throat, weakness, tiredness, dry cough, aching muscles and joints, body temperature rise, fever. Virus tends to change, producing new strains.

Influenza lowers the body’s resistance to infection. For stomach influenza, see: GASTROENTERITIS. Effects of influenza may last for years.

Treatment. (Historical) One of the most virulent strains of history was during the outbreak after World War I. The American Eclectic School of physicians treated successfully with: 5 drops Liquid Extract Lobelia, 5 drops Liquid Extract Gelsemium, and 10 drops Liquid Extract Bryonia. Distilled water to 4oz. 1 teaspoon 4-5 times daily.

Bedrest. Drink plenty of fluids (herb teas, fruit juices). Hot bath at bedtime.

Alternatives. Teas. Elderflowers and Peppermint, Yarrow, Boneset, Pleurisy root.

Tablets/capsules. Lobelia, Cinnamon.

Potter’s Peerless Composition Essence.

Powders. Cinnamon, with pinch of Cayenne.

Dose: 500mg (two 00 capsules or one-third teaspoon) every 2 hours.

Formula. Lobelia 2; Pleurisy root 1; Peppermint quarter; Valerian half. Dose: Liquid Extracts: one 5ml teaspoon. Tinctures: two 5ml teaspoons. Acute cases: every 2 hours in hot water. On remission of temperature: thrice daily.

Nurse Ethel Wells, FNIMH. Half an ounce each: Elderflowers, Yarrow, White Horehound, Peppermint, Boneset. Infuse 2 tablespoons in 1 pint boiling water in a clean teapot. Drink teacupful at bedtime and the remainder, cold, in teacupful doses the following day.

Inhalant. Aromatherapy: 5 drops each, Niaouli, Pine and Eucalyptus oils in bowl of hot water; inhale steam with head covered. See also: FRIAR’S BALSAM. 4 drops Peppermint oil in bath.

Diet. 3-day fast, where possible, with herb teas and fruit juices.

Supplements. Daily. Vitamin A 7,500iu. Vitamin C 3g. ... influenza

Legionnaire’s Disease

Non-contagious acute infection affecting the mucous membrane of the lungs. A form of pneumonia, caused by the organism Legionella pneumophilla.

Onset: 2-10 days.

Sources of infection: water-cooling and air-conditioning plants, Aerosols.

Usually attacks those with existing lung weakness. Those with low natural resistance and smokers are most at risk. Epidemic or single cases. Diagnosis confirmed by Haematological laboratory.

Symptoms. High body temperature (above 39°C). Rigor. Shivering. Diarrhoea. Dry cough. Bleeding from stomach and intestines. Mental confusion. Chest pains, shortness of breath, occasional diarrhoea. Differential diagnosis. Glandular fever. Other forms of pneumonia.

Indicated: anti-microbials and expectorants.

Treatment. Formula. Pleurisy root 2; Echinacea root 2; Grindelia quarter. Dose – Powders: 500mg (two 00 capsules or one-third teaspoon). Liquid extracts: one 5ml teaspoon. Tinctures: two 5ml teaspoons. Every 3 hours. Take together with:–

Fenugreek tea. 2 heaped teaspoons seeds to each cup water simmered gently 10 minutes. Drink freely 1 cup. Seeds should be swallowed.

Enema. Strong Yarrow tea enema to control bowel bleeding. ... legionnaire’s disease

Plague

A serious infectious disease that is caused by the bacterium YERSINIA PESTIS. It mainly affects rodents but can be transmitted to humans by flea bites. There are 2 main types: bubonic and pneumonic plague. Bubonic plague is characterized by swollen lymph glands (called “buboes”). Symptoms usually start 2–5 days after infection, with fever, shivering, and severe headache. Soon, the smooth, red, intensely painful buboes appear, usually in the groin. There may be bleeding into the skin around the buboes, causing dark patches.Pneumonic plague affects the lungs and can spread from person to person in infected droplets expelled during coughing. Symptoms are severe coughing that produces a bloody, frothy sputum and laboured breathing. Without early treatment, death is almost inevitable.

A sample of fluid from a bubo, or a sputum sample, is taken to confirm the diagnosis.

Possible treatments include streptomycin and tetracycline drugs.... plague

Prostatitis

n. inflammation of the prostate gland. This may be due to bacterial infection and can be either acute or chronic. In acute prostatitis the patient has all the symptoms of a urinary infection, including pain in the perineal area, temperature, and shivering. Treatment is by antibiotic administration. In chronic prostatitis, patients commonly complain of pain in the area between the scrotum and the anus, accompanied by *lower urinary tract symptoms. Some of these cases are due to bacterial infection, in which case antibiotics are required. In others, no bacterial infection is demonstrated, although there may be evidence of inflammation. Treatment in these cases involves alpha blockers, anti-inflammatory agents, and occasionally antibiotics. In some men, vigorous prostate massage performed under a general anaesthetic can significantly alleviate symptoms.... prostatitis



Recent Searches