Department of Emergency, Xiangya Hospital, Central South University, Changsha 410008, Hunan Province, China.
Department of Emergency, Xiangya Hospital, Central South University, Changsha 410008, Hunan Province, China.
Am J Emerg Med. 2019 Aug;37(8):1601.e1-1601.e2. doi: 10.1016/j.ajem.2019.05.011. Epub 2019 May 6.
Psychogenic fever is a stress-related psychosomatic disease and has been recognized clinically since the early twentieth century. It is common in adolescents or young women with acute or persistent elevation in body temperature. Psychogenic fever can be attenuated by anxiolytic, neuroleptic, or by psychotherapy.
A 22-year-old female was diagnosed with psychogenic fever and suffered from fever, headache and transient visual impairment. She had a history of being hit on the head by a rolling gate 10 days prior to visiting our hospital. All examinations showed no abnormal findings. Antipyretic drugs and antibiotics had no effect on reducing her body temperature. The patient was usually nervous at work and became extremely anxious after the injury. Within a week of psychotherapy, her temperature gradually returned to normal and her sight was restored.
Psychological stress may present with a range of symptoms, including visual impairment. Physicians should consider the diagnosis of psychogenic fever when patients present with fever of unknown origin and no other abnormal findings.
心因性发热是一种与应激相关的心身疾病，自 20 世纪初以来已在临床上得到认识。它常见于青少年或年轻女性，表现为急性或持续性体温升高。心因性发热可以通过抗焦虑药、抗精神病药或心理治疗来缓解。
一名 22 岁女性被诊断为心因性发热，出现发热、头痛和短暂性视力障碍。她在来我院就诊前 10 天被滚动的大门击中头部。所有检查均未发现异常。解热药和抗生素对降低体温没有效果。该患者在工作中通常很紧张，受伤后极度焦虑。在接受心理治疗一周内，她的体温逐渐恢复正常，视力也恢复了。
心理压力可能表现出多种症状，包括视力障碍。当患者出现不明原因发热且无其他异常发现时，医生应考虑心因性发热的诊断。
