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Video: Neurologist Reported An Influx Of Patients With "psychogenic Fever" Amid A Pandemic
Neurologist reported an influx of patients with "psychogenic fever" amid a pandemic
On his Facebook page, a neurologist, a specialist in complex diagnosis, Oybek Turgunhuzhaev, wrote that patients with hyperthermia, which arose against a background of severe stress, began to visit private clinics in Moscow more often.
Neurologist Oybek Turgunhuzhaev / Photo: Interdisciplinary Rehabilitation Center / YouTube 11304
According to Turgunkhuzhaev, doctors of medical centers note an influx of patients who complain of fever up to 37.4 in the evening. Basically, these are middle-aged people who did not suffer from anything, or underwent COVID-19 with a "clean" CT scan of the lungs and tests that did not reveal systemic inflammation. According to the doctor, this condition may be caused by the phenomenon of psychogenic fever, which was described in detail by Takakazu Oka, a Japanese specialist in psychosomatic conditions.
We are talking about a hyperthermic reaction of the body to mental stress, which is most often not accompanied by mental disorders and does not depend on the patient's consciousness. In rare cases, the temperature can reach 41 degrees, but basically psychogenic hyperthermia is characterized by a temperature of 37-38 for weeks, months, in rare cases - several years, after an acute traumatic situation, while without a significant reaction to antipyretic drugs.
In his work, Takazu Oka identifies two principal mechanisms for the formation of an elevated temperature: caused by infection and not caused by infection, writes Turgunhuzhaev.
“Everything is clear with the first one. There is an infection, or its systemic display in blood counts, search, treat. With the second, everything is not very clear, especially if the patient has neither clinical nor hormonal reasons for hyperthermia. And if we omit the entire diagnostic search that can be applied to a patient, then it is worth remembering another condition that can cause a rise in temperature. Psychogenic, stress-induced, functional hyperthermia is a common cause of fever of unknown cause in a situation where there is no evidence for a systemic inflammatory response,”writes Oybek Turgunhuzhaev.
Treatment for this condition consists in prescribing the correct anti-anxiety or antidepressant therapy, or identifying psychological triggers that should be excluded from avoiding.
Turgunkhuzhaev stressed that psychogenic fever was described by scientists by about scientists, and also against the backdrop of a pandemic.
“Many of us have already experienced this state. For example, during a session, or while talking about a very uncomfortable and stressful event in your life, being at an unloved job, the doctor said.
He advised his colleagues to openly discuss with patients the likelihood of developing functional hyperthermia against the background of stress, show them scientific articles and, if necessary, refer them to a psychotherapist or psychiatrist.