Fever (Pyrexia)
Fever is usually the body's response to an illness or infection. The temperature matters, but age, how unwell someone looks, other symptoms, and how the illness is changing matter even more.
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Independent clinical validation is pending.
Quick Reference Facts
In simple words
A fever is a temporary rise in body temperature, usually 38°C (100.4°F) or higher when measured with a thermometer. It is a symptom, not a diagnosis.
Many fevers are linked with common viral illnesses, but the right next step depends on age, symptoms, health conditions, travel, medicines, and whether the person is improving or worsening.
Common Causes
- A respiratory illness such as a cold, flu, sore throat, or chest infection
- An infection affecting the stomach, urine, ear, skin, or another part of the body
- A reaction to a vaccine or, less commonly, a medicine or inflammatory condition
- Heat illness or another cause that needs a clinician to interpret in context
Clinical Red Flags
Seek urgent medical attention at an emergency department or primary care clinic if you present with any of the following symptoms:
- Seek emergency care now for difficulty breathing, blue lips or face, new confusion, inability to wake, a seizure, a severe headache with stiff neck, or a rapidly worsening illness.
- A fever with a new purple or bruise-like rash, severe dehydration, persistent vomiting, or severe pain needs urgent medical assessment.
- A baby under 3 months with a temperature of 38°C (100.4°F) or higher needs prompt medical assessment. People who are pregnant, immunocompromised, receiving cancer treatment, or seriously unwell should seek advice early.
Lifestyle & Diet Support
For a familiar mild fever in an otherwise well adult or older child, rest, fluids, light clothing, and monitoring how the person feels can help. Follow the label or a clinician's advice for medicines; do not give aspirin to children or teenagers with a fever. Seek care if symptoms are not improving, are worsening, or any red flag appears.
Frequently Asked Questions
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Differential Diagnosis Matrix
A thermometer cannot identify the cause of a fever by itself. A clinician may consider the pattern, examination, travel or exposure history, medicines, and tests when symptoms are severe, prolonged, recurrent, or unclear.
Reference Citations & Evidence Sources
Clinical Reviews & Textbooks
- CIT-0127Clinical Review pending verification
- CIT-0128Clinical Review pending verification
Clinical Connections
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