E-ISSN 1858-8360 | ISSN 0256-4408
 

Case Report 


Hypothermia induced by therapeutic doses of antipyretics: misdiagnosis of cold sepsis

Indranil Dey, Natasha Singhal, Hannah Ruth Walsh, Paul Anthony Heaton, Siba Prosad Paul.

Abstract
Fever is a natural and almost universal mammalian response to infection. There exists a fear amongst general public and healthcare providers regarding fever being harmful leading to its overzealous management with antipyretics. Although the NICE guidelines suggest use of single antipyretic agent for management of fever, combination therapy with paracetamol and ibuprofen is common in paediatric practice in the United Kingdom. These antipyretics at times can cause significant adverse events even when administered at regular therapeutic doses.

We describe a young boy who presented with severe hypothermia (34.1C) and was initially treated as cold sepsis. Once the boy got warmed up and as blood results became subsequently available, it became clearer that the hypothermia was secondary to therapeutic doses of antipyretics. In conclusion, we hope to improve awareness regarding this condition in clinical practice and educate health care professionals and caregivers with recommended NICE guidelines.

Key words: Fever; Hypothermia; Antipyretics; Therapeutic doses; Sepsis;


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Indranil Dey
Articles by Natasha Singhal
Articles by Hannah Ruth Walsh
Articles by Paul Anthony Heaton
Articles by Siba Prosad Paul
on Google
on Google Scholar


How to Cite this Article
Pubmed Style

Dey I, Singhal N, Walsh HR, Heaton PA, Paul SP. Hypothermia induced by therapeutic doses of antipyretics: misdiagnosis of cold sepsis. doi:10.24911/SJP.106-1601033976


Web Style

Dey I, Singhal N, Walsh HR, Heaton PA, Paul SP. Hypothermia induced by therapeutic doses of antipyretics: misdiagnosis of cold sepsis. http://www.sudanjp.com/?mno=137868 [Access: November 26, 2021]. doi:10.24911/SJP.106-1601033976


AMA (American Medical Association) Style

Dey I, Singhal N, Walsh HR, Heaton PA, Paul SP. Hypothermia induced by therapeutic doses of antipyretics: misdiagnosis of cold sepsis. doi:10.24911/SJP.106-1601033976



Vancouver/ICMJE Style

Dey I, Singhal N, Walsh HR, Heaton PA, Paul SP. Hypothermia induced by therapeutic doses of antipyretics: misdiagnosis of cold sepsis. doi:10.24911/SJP.106-1601033976



Harvard Style

Dey, I., Singhal, . N., Walsh, . H. R., Heaton, . P. A. & Paul, . S. P. (2021) Hypothermia induced by therapeutic doses of antipyretics: misdiagnosis of cold sepsis. doi:10.24911/SJP.106-1601033976



Turabian Style

Dey, Indranil, Natasha Singhal, Hannah Ruth Walsh, Paul Anthony Heaton, and Siba Prosad Paul. 2021. Hypothermia induced by therapeutic doses of antipyretics: misdiagnosis of cold sepsis. doi:10.24911/SJP.106-1601033976



Chicago Style

Dey, Indranil, Natasha Singhal, Hannah Ruth Walsh, Paul Anthony Heaton, and Siba Prosad Paul. "Hypothermia induced by therapeutic doses of antipyretics: misdiagnosis of cold sepsis." doi:10.24911/SJP.106-1601033976



MLA (The Modern Language Association) Style

Dey, Indranil, Natasha Singhal, Hannah Ruth Walsh, Paul Anthony Heaton, and Siba Prosad Paul. "Hypothermia induced by therapeutic doses of antipyretics: misdiagnosis of cold sepsis." doi:10.24911/SJP.106-1601033976



APA (American Psychological Association) Style

Dey, I., Singhal, . N., Walsh, . H. R., Heaton, . P. A. & Paul, . S. P. (2021) Hypothermia induced by therapeutic doses of antipyretics: misdiagnosis of cold sepsis. doi:10.24911/SJP.106-1601033976





Most Viewed Articles
  • Rheumatic heart disease in North Darfur: an alarmingly high burden and control initiative
    Nagwa Salih, Ishag Eisa, Daresalam Ishag, Intisar Ibrahim, Sulafa Ali
    Sudan J Paed. 2018; 18(1): 24-27
    » Abstract » doi: 10.24911/SJP.2018.1.4

  • Feeding growth restricted premature neonates: a challenging perspective
    Siba Prosad Paul, Emily Natasha Kirkham, Katherine Amy Hawton, Paul Anthony Mannix
    Sudan J Paed. 2018; 18(2): 5-14
    » Abstract » doi: 10.24911/SJP.106-1519511375

  • Congenital brain malformations in Sudanese children: an outpatient-based study
    Inaam Noureldyme Mohammed, Soad Abdalaziz Suliman, Maha A Elseed, Ahlam Abdalrhman Hamed, Mohamed Osman Babiker, Shaimaa Osman Taha
    Sudan J Paed. 2018; 18(1): 48-56
    » Abstract » doi: 10.24911/SJP.2018.1.7

  • Evaluation of Science. [eng]
    Adnan Mahmmood Usmani; Sultan Ayoub Meo
    Sudan J Paed. 2011; 11(1): 6-7
    » Abstract

  • Blood tests are not always helpful in predicting bacterial meningitis in children.
    Taha I Yousif, Katie O'Reilly, Montasser Nadeem
    Sudan J Paed. 2016; 16(2): 77-79
    » Abstract

  • Most Downloaded
  • Why mothers are not exclusively breast feeding their babies till 6 months of age? Knowledge and practices data from two large cities of the Kingdom of Saudi Arabia
    Hafsa Raheel, Shabana Tharkar
    Sudan J Paed. 2018; 18(1): 28-38
    » Abstract » doi: 10.24911/SJP.2018.1.5

  • Inborn errors of metabolism associated with hyperglycaemic ketoacidosis and diabetes mellitus: narrative review
    Majid Alfadhel, Amir Babiker
    Sudan J Paed. 2018; 18(1): 10-23
    » Abstract » doi: 10.24911/SJP.2018.1.3

  • Severe desquamation in Kawasaki disease: Is it somehow protective?
    Jubran Theeb Alqanatish, Amir Babiker
    Sudan J Paed. 2017; 17(2): 56-59
    » Abstract » doi: 10.24911/SJP.2017.2.7

  • The role of micronutrients in thyroid dysfunction
    Amir Babiker, Afnan Alawi, Mohsen Al Atawi, Ibrahim Al Alwan
    Sudan J Paed. 2020; 20(1): 13-19
    » Abstract » doi: 10.24911/SJP.106-1587138942

  • Imaging features of complete agenesis of corpus callosum in a 3-year-old child
    Sunil Malik, Sonal Saran, yash sharma, Annu Kharbanda
    Sudan J Paed. 2018; 18(2): 69-71
    » Abstract » doi: 10.24911/SJP.106-1523336915

  • Most Cited Articles
  • Anti-diabetic medications: How to make a choice?
    Amir Babiker, Mohammed Al Dubayee
    Sudan J Paed. 2017; 17(2): 11-20
    » Abstract » doi: 10.24911/SJP.2017.2.12
    Cited : 8 times [Click to see citing articles]

  • Broad beans ( Vicia faba ) and the potential to protect from COVID-19 coronavirus infection
    Mutasim I. Khalil, Mustafa A. Salih, Ali A. Mustafa
    Sudan J Paed. 2020; 20(1): 10-12
    » Abstract » doi: 10.24911/SJP.1061585398078
    Cited : 4 times [Click to see citing articles]

  • Challenges in the diagnosis and management of Pediatric Rheumatology in the developing world: Lessons from a newly established clinic in Yemen
    Haifa Ali Bin Dahman
    Sudan J Paed. 2017; 17(2): 21-29
    » Abstract » doi: 10.24911/SJP.2017.2.2
    Cited : 4 times [Click to see citing articles]

  • Pattern of malaria in hospitalized children in Khartoum state
    Hasan Awadalla Hashim, Eltigani Mohamed Ahmed Ali
    Sudan J Paed. 2017; 17(2): 35-41
    » Abstract » doi: 10.24911/SJP.2017.2.4
    Cited : 4 times [Click to see citing articles]

  • Commitment to the wellbeing of children worldwide. [eng]
    Mustafa Abdalla M Salih; Satti Abdelrahim Satti
    Sudan J Paed. 2011; 11(2): 4-5
    » Abstract
    Cited : 4 times [Click to see citing articles]