Fever and thromboembolic disease in acute XXXX .

@entity1 @entity1129 @entity1566 @entity715 @entity221
@entity1129 (T.E.D.) is a major cause of morbidity and mortality in the first few months following @entity1566 . The purpose of this three year retrospective study is to delineate the previously poorly described role of @entity221 as both a common component of T.E.D. manifestation and, on occasion, the sole presenting sign of an otherwise occult T.E.D. process. We reviewed 148 consecutive admissions to the Southeastern Michigan Spinal Cord Injury System (1982-1985). Ten @entity1 with documented T.E.D. were found and extensively reviewed; 3 had inadequate documentation of clinical manifestations and 1 @entity1 was found from venography to have a non-acute @entity715 . Of the remaining 6 cases, all had @entity221 as a sign, and 4 of these @entity1 had @entity221 as the sole presenting sign. Full @entity221 work-ups were performed in each case and no other source for @entity221 could be found. Fever spikes occurred most commonly at night, with a maximum temperature of 100.2 degrees F (oral) to a high in one case of 103.0 degrees F (oral). All fevers resolved within the first week of adequate anticoagulation therapy. These findings indicate that @entity221 may be the earliest and, possibly, only clinical sign of an otherwise occult T.E.D. process.
