Drug fever caused by propofol in the intensive care unit. 2015

Tomoaki Yatabe, and Koichi Yamashita, and Masataka Yokoyama
Department of Anesthesiology and Intensive Care Medicine, Kochi Medical School, Kohasu, Oko-cho, Nankoku, Kochi, 783-8505, Japan. yatabe@kochi-u.ac.jp.

Few studies have reported that fever is caused by intravenous sedative drugs even though these agents are widely used. We present a case of propofol-induced drug fever. A 57-year-old woman underwent hepatic segmentectomy. Although she was diagnosed with type I glycogen storage disease when in her twenties, her liver function was normal. As the operative hemorrhage was high, the patient was transferred to the intensive care unit (ICU). Her temperature at ICU admission was 35.8 °C, and sedation with propofol and dexmedetomidine was initiated. Two hours after admission to the ICU, the patient had a fever of 38-39.5 °C. Remittent fever persisted until day 5 after surgery. Because of her persistent fever, pneumonia was suspected and antibiotics were initiated on day 4 after surgery. As the fever persisted after the initiation of antibiotics, drug fever was suspected. On day 5 after surgery, propofol infusion was discontinued and the patient was extubated. Her temperature of 37.7 °C at the discontinuation of propofol infusion, and rapidly decreased to 36.1 °C in the following 3 h. Propofol-induced drug fever must be considered in cases of fever of unknown origin when patients receive propofol and appear inappropriately well for the degree of fever that they have.

UI MeSH Term Description Entries
D006993 Hypnotics and Sedatives Drugs used to induce drowsiness or sleep or to reduce psychological excitement or anxiety. Hypnotic,Sedative,Sedative and Hypnotic,Sedatives,Hypnotic Effect,Hypnotic Effects,Hypnotics,Sedative Effect,Sedative Effects,Sedatives and Hypnotics,Effect, Hypnotic,Effect, Sedative,Effects, Hypnotic,Effects, Sedative,Hypnotic and Sedative
D007362 Intensive Care Units Hospital units providing continuous surveillance and care to acutely ill patients. ICU Intensive Care Units,Intensive Care Unit,Unit, Intensive Care
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D005260 Female Females
D005334 Fever An abnormal elevation of body temperature, usually as a result of a pathologic process. Pyrexia,Fevers,Pyrexias
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D015742 Propofol An intravenous anesthetic agent which has the advantage of a very rapid onset after infusion or bolus injection plus a very short recovery period of a couple of minutes. (From Smith and Reynard, Textbook of Pharmacology, 1992, 1st ed, p206). Propofol has been used as ANTICONVULSANTS and ANTIEMETICS. Disoprofol,2,6-Bis(1-methylethyl)phenol,2,6-Diisopropylphenol,Aquafol,Diprivan,Disoprivan,Fresofol,ICI-35,868,ICI-35868,Ivofol,Propofol Abbott,Propofol Fresenius,Propofol MCT,Propofol Rovi,Propofol-Lipuro,Recofol,2,6 Diisopropylphenol,ICI 35,868,ICI 35868,ICI35,868,ICI35868
D020927 Dexmedetomidine An imidazole derivative that is an agonist of ADRENERGIC ALPHA-2 RECEPTORS. It is closely related to MEDETOMIDINE, which is the racemic form of this compound. Cepedex,Dexdomitor,Dexdor,Igalmi,Sedadex,Sileo,Dexmedetomidine Hydrochloride,MPV-1440,Precedex,Hydrochloride, Dexmedetomidine,MPV 1440,MPV1440

Related Publications

Tomoaki Yatabe, and Koichi Yamashita, and Masataka Yokoyama
May 2009, Anesthesia and analgesia,
Tomoaki Yatabe, and Koichi Yamashita, and Masataka Yokoyama
January 1995, International anesthesiology clinics,
Tomoaki Yatabe, and Koichi Yamashita, and Masataka Yokoyama
November 1992, American journal of surgery,
Tomoaki Yatabe, and Koichi Yamashita, and Masataka Yokoyama
July 1999, Intensive care medicine,
Tomoaki Yatabe, and Koichi Yamashita, and Masataka Yokoyama
March 1996, Infectious disease clinics of North America,
Tomoaki Yatabe, and Koichi Yamashita, and Masataka Yokoyama
August 1987, British journal of hospital medicine,
Tomoaki Yatabe, and Koichi Yamashita, and Masataka Yokoyama
January 2013, Surgical neurology international,
Tomoaki Yatabe, and Koichi Yamashita, and Masataka Yokoyama
April 1987, British medical journal (Clinical research ed.),
Tomoaki Yatabe, and Koichi Yamashita, and Masataka Yokoyama
November 2005, The Journal of the Association of Physicians of India,
Tomoaki Yatabe, and Koichi Yamashita, and Masataka Yokoyama
December 2015, Therapeutic advances in drug safety,
Copied contents to your clipboard!