Rigor: Difference between revisions
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{{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 == | == Causes == | ||
=== Common Causes === | === Common Causes === | ||
{{MultiCol}} | {{MultiCol}} | ||
*[[Acute cholangitis]] | *[[Acute cholangitis]] | ||
| Line 24: | Line 20: | ||
*[[Biliary sepsis]] | *[[Biliary sepsis]] | ||
*[[Brucellosis]] | *[[Brucellosis]] | ||
*[[ | *[[Catheterization]] | ||
*[[Dressler's syndrome]] | *[[Dressler's syndrome]] | ||
*[[Filariasis]] | *[[Filariasis]] | ||
*[[Gastroenteritis]] | *[[Gastroenteritis]] | ||
*[[ | *[[Generalized pustular psoriasis]] | ||
*[[Gentamicin]] | *[[Gentamicin]] | ||
*[[Hemodialysis]] | *[[Hemodialysis]] | ||
*[[Infective endocarditis]] | *[[Infective endocarditis]] | ||
*[[Influenza]] | |||
*[[Interleukin II]] | *[[Interleukin II]] | ||
*[[Jarisch-Herxheimer reaction]] | *[[Jarisch-Herxheimer reaction]] | ||
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*[[Lyme disease]] | *[[Lyme disease]] | ||
*[[Malaria]] | *[[Malaria]] | ||
*[[Meningitis]] | |||
{{ColBreak}} | |||
*[[Meningococcal septicemia]] | *[[Meningococcal septicemia]] | ||
*[[Normal vaginal delvery]] | *[[Normal vaginal delvery]] | ||
*[[Pericarditis]] | *[[Pericarditis]] | ||
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*[[Rheumatic fever]] | *[[Rheumatic fever]] | ||
*[[Septic arthritis]] | *[[Septic arthritis]] | ||
*[[Sepsis]] | |||
*[[Severe acute respiratory syndrome]] | *[[Severe acute respiratory syndrome]] | ||
*[[Severe | *[[Severe generalized rash]] | ||
*[[Transfusion reaction]] | *[[Transfusion reaction]] | ||
*[[Tonsillitis]] | |||
*[[Tuberculosis]] | *[[Tuberculosis]] | ||
*[[Ulcerative colitis]] | *[[Ulcerative colitis]] | ||
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=== Causes by Organ System === | === Causes by Organ System === | ||
{|style="width:80%; height:100px" border="1" | {|style="width:80%; height:100px" border="1" | ||
|style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular''' | |style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular''' | ||
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|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Drug Side Effect''' | | '''Drug Side Effect''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Agalsidase beta]], [[Denileukin diftitox]], [[Doxorubicin Hydrochloride]], [[Imiglucerase]], [[Ixabepilone]], [[Meropenem]], [[Panitumumab]], [[Pergolide]], [[Pramipexole]], [[Ramucirumab]], [[Sargramostim]], [[Sipuleucel-T]], [[Teniposide]], [[Tiagabine]], [[Voriconazole]], [[Zanamivir]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
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|} | |} | ||
=== Causes in Alphabetical Order === | ===Causes in Alphabetical Order=== | ||
*[[Doxorubicin Hydrochloride]] | |||
*[[Ixabepilone]] | |||
*[[Panitumumab]] | |||
*[[Pergolide]] | |||
*[[Ramucirumab]] | |||
*[[Sargramostim]] | |||
*[[Sipuleucel-T]] | |||
*[[Teniposide]] | |||
*[[Tiagabine]] | |||
*[[Voriconazole]] | |||
== Related Chapters == | ==Related Chapters== | ||
* [[ | * [[Rigor mortis]] | ||
== References == | == 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
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US National Guidelines Clearinghouse on Rigor
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Directions to Hospitals Treating Rigor Risk calculators and risk factors for Rigor
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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