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Heparin-Induced Fever in Neurointensive Care Unit: A Rarity Yet a Possibility
Author(s) -
Mathangi Krishnakumar,
Shweta Naik,
Venkatapura J. Ramesh,
S Mouleeswaran
Publication year - 2021
Publication title -
journal of neuroanaesthesiology and critical care
Language(s) - English
Resource type - Journals
eISSN - 2348-926X
pISSN - 2348-0548
DOI - 10.1055/s-0041-1739350
Subject(s) - neurointensive care , heparin , medicine , intensive care medicine , etiology , intensive care unit , traumatic brain injury , immunology , surgery , psychiatry
Fever is considered a protective response having multitude of benefits in terms of enhancing resistance to infection, recruiting cytokines to the injured tissue, and promoting healing. In terms of an injured brain, this becomes a double-edged sword triggering an inflammatory cascade resulting in secondary brain injury. It is important to identify the etiology so that corrective measures can be taken. Here we report a case of persistent fever in a patient with Guillain-Barré syndrome, which was probably due to heparin. This is the first report of heparin-induced fever in a neurocritical care setting and third report overall.

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