Rigor: Difference between revisions
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__NOTOC__ | |||
{{SI}} | |||
'''For patient information, click [[Rigor (patient information)|here]]''' | |||
{{CMG}} | {{CMG}} | ||
{{SK}} | {{SK}} Shaking chills | ||
==Overview== | == Overview == | ||
Rigor is a [[tremor|shaking]] occurring during a high [[fever]]. It occurs because [[cytokine|cytokines]] and [[prostaglandin]]s are released as part of an [[immune response]] and increase the set point for body temperature in the [[hypothalamus]]. | |||
The increased set point causes the body temperature to rise ([[pyrexia]]), but also makes the patient feel cold until the new set point is reached. Rigor occurs because the patient is effectively shivering in a physiological attempt to increase body temperature to the new set point. | The increased set point causes the body temperature to rise ([[pyrexia]]), but also makes the patient feel cold until the new set point is reached. Rigor occurs because the patient is effectively shivering in a physiological attempt to increase body temperature to the new set point. | ||
== | == Causes == | ||
* [[ | === Common Causes === | ||
{{MultiCol}} | |||
*[[Acute cholangitis]] | |||
*[[Amphotericin B]] | |||
*[[Anti-TNF alpha drugs]] | |||
*[[Biliary sepsis]] | |||
*[[Brucellosis]] | |||
*[[Catheterization]] | |||
*[[Dressler's syndrome]] | |||
*[[Filariasis]] | |||
*[[Gastroenteritis]] | |||
*[[Generalized pustular psoriasis]] | |||
*[[Gentamicin]] | |||
*[[Hemodialysis]] | |||
*[[Infective endocarditis]] | |||
*[[Influenza]] | |||
*[[Interleukin II]] | |||
*[[Jarisch-Herxheimer reaction]] | |||
*[[Lemierre's syndrome]] | |||
*[[Louse-borne relapsing fever]] | |||
*[[Lyme disease]] | |||
*[[Malaria]] | |||
*[[Meningitis]] | |||
{{ColBreak}} | |||
*[[Meningococcal septicemia]] | |||
*[[Normal vaginal delvery]] | |||
*[[Pericarditis]] | |||
*[[Pneumonia]] | |||
*[[Post bone marrow transplant]] | |||
*[[Post operative infections]] | |||
*[[Post radiotherapy]] | |||
*[[Prostate cancer]] | |||
*[[Prostatitis]] | |||
*[[Pyelonephritis]] | |||
*[[Rat bite fever]] | |||
*[[Rheumatic fever]] | |||
*[[Septic arthritis]] | |||
*[[Sepsis]] | |||
*[[Severe acute respiratory syndrome]] | |||
*[[Severe generalized rash]] | |||
*[[Transfusion reaction]] | |||
*[[Tonsillitis]] | |||
*[[Tuberculosis]] | |||
*[[Ulcerative colitis]] | |||
*[[Urinary tract infections]] | |||
*[[Vancomycin]] | |||
*[[Visceral abscess]] | |||
{{EndMultiCol}} | |||
=== Causes by Organ System === | |||
{|style="width:80%; height:100px" border="1" | |||
|style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular''' | |||
|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Chemical / poisoning''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Dermatologic''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Drug Side Effect''' | |||
|bgcolor="Beige"| [[Agalsidase beta]], [[Denileukin diftitox]], [[Doxorubicin Hydrochloride]], [[Imiglucerase]], [[Ixabepilone]], [[Meropenem]], [[Panitumumab]], [[Pergolide]], [[Pramipexole]], [[Ramucirumab]], [[Sargramostim]], [[Sipuleucel-T]], [[Teniposide]], [[Tiagabine]], [[Voriconazole]], [[Zanamivir]] | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Ear Nose Throat''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Endocrine''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Environmental''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Gastroenterologic''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Genetic''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Hematologic''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Iatrogenic''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Infectious Disease''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Musculoskeletal / Ortho''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Neurologic''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Nutritional / Metabolic''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Obstetric/Gynecologic''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Oncologic''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Opthalmologic''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Overdose / Toxicity''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Psychiatric''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Pulmonary''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Renal / Electrolyte''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Rheum / Immune / Allergy''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Sexual''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Trauma''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Urologic''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Dental''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Miscellaneous''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|} | |||
===Causes in Alphabetical Order=== | |||
*[[Doxorubicin Hydrochloride]] | |||
*[[Ixabepilone]] | |||
*[[Panitumumab]] | |||
*[[Pergolide]] | |||
*[[Ramucirumab]] | |||
*[[Sargramostim]] | |||
*[[Sipuleucel-T]] | |||
*[[Teniposide]] | |||
*[[Tiagabine]] | |||
*[[Voriconazole]] | |||
==Related Chapters== | |||
* [[Rigor mortis]] | |||
== References == | |||
{{Reflist|2}} | |||
[[ja:悪寒]] | [[ja:悪寒]] | ||
[[ru:Озноб]] | [[ru:Озноб]] | ||
{{WH}} | |||
{{WS}} | |||
[[Category:Symptoms]] | |||
[[Category:Signs and symptoms]] | [[Category:Signs and symptoms]] | ||
Latest revision as of 00:02, 30 July 2020
WikiDoc Resources for Rigor |
Articles |
---|
Media |
Evidence Based Medicine |
Clinical Trials |
Ongoing Trials on Rigor at Clinical Trials.gov Clinical Trials on Rigor at Google
|
Guidelines / Policies / Govt |
US National Guidelines Clearinghouse on Rigor
|
Books |
News |
Commentary |
Definitions |
Patient Resources / Community |
Directions to Hospitals Treating Rigor Risk calculators and risk factors for Rigor
|
Healthcare Provider Resources |
Continuing Medical Education (CME) |
International |
|
Business |
Experimental / Informatics |
For patient information, click here
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Synonyms and keywords: Shaking chills
Overview
Rigor is a shaking occurring during a high fever. It occurs because cytokines and prostaglandins are released as part of an immune response and increase the set point for body temperature in the hypothalamus.
The increased set point causes the body temperature to rise (pyrexia), but also makes the patient feel cold until the new set point is reached. Rigor occurs because the patient is effectively shivering in a physiological attempt to increase body temperature to the new set point.
Causes
Common Causes
Causes by Organ System
Cardiovascular | No underlying causes |
Chemical / poisoning | No underlying causes |
Dermatologic | No underlying causes |
Drug Side Effect | Agalsidase beta, Denileukin diftitox, Doxorubicin Hydrochloride, Imiglucerase, Ixabepilone, Meropenem, Panitumumab, Pergolide, Pramipexole, Ramucirumab, Sargramostim, Sipuleucel-T, Teniposide, Tiagabine, Voriconazole, Zanamivir |
Ear Nose Throat | No underlying causes |
Endocrine | No underlying causes |
Environmental | No underlying causes |
Gastroenterologic | No underlying causes |
Genetic | No underlying causes |
Hematologic | No underlying causes |
Iatrogenic | No underlying causes |
Infectious Disease | No underlying causes |
Musculoskeletal / Ortho | No underlying causes |
Neurologic | No underlying causes |
Nutritional / Metabolic | No underlying causes |
Obstetric/Gynecologic | No underlying causes |
Oncologic | No underlying causes |
Opthalmologic | No underlying causes |
Overdose / Toxicity | No underlying causes |
Psychiatric | No underlying causes |
Pulmonary | No underlying causes |
Renal / Electrolyte | No underlying causes |
Rheum / Immune / Allergy | No underlying causes |
Sexual | No underlying causes |
Trauma | No underlying causes |
Urologic | No underlying causes |
Dental | No underlying causes |
Miscellaneous | No underlying causes |
Causes in Alphabetical Order
- Doxorubicin Hydrochloride
- Ixabepilone
- Panitumumab
- Pergolide
- Ramucirumab
- Sargramostim
- Sipuleucel-T
- Teniposide
- Tiagabine
- Voriconazole