Fever is a complex, coordinated autonomic, neuroendocrine, andbehavioral response that is adaptive and is used by nearly allvertebrates as part of the acute-phase reaction to immune challenge.Although the febrile response can be elicited by a wide varietyof infectious organisms and may also occur during noninfectiousinflammatory conditions, its manifestations are stereotypedand largely independent of the causative agent. Like other integratedresponses, such as the regulation of energy metabolism, bloodpressure and volume, and reproduction, fever depends on humoralcues from the body, is orchestrated largely by the hypothalamus,and involves the coordination of a wide . . . [Full Text of this Article]
Components of the Febrile Response
What Is the Signal for Initiating Fever?
How Does the Brain Recognize Circulating Endogenous Pyrogens?
How Is the Febrile Signal Relayed to Critical Structures in the Brain?
Implications for Medical Practice
Conclusion
Discussion
Source Information
From the Department of Neurology and Program in Neuroscience, Beth Israel Hospital and Harvard Medical School, Boston (C.B.S.), and the Committee on Neurobiology, University of Chicago, Chicago (C.D.B.).
Address reprint requests to Dr. Saper at the Department of Neurology, Beth Israel Hospital, 330 Brookline Ave., Boston, MA 02215.
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