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SARS without temperature
Last reviewed: 23.04.2024
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Most of us are used to associate infectious diseases with fever. Indeed, high temperatures (above 37 ° C) indicate that the body is fighting viruses and bacterial infection. Medical experts even advise not to take the pill from the temperature, if the indices do not exceed 38 ° C. However, why sometimes there are cases of acute respiratory infections without temperature? Is this normal, or is something wrong with the body?
Causes
We all know that the normal temperature should be 36.6 ° C. Sometimes fluctuations from 36 to 37 ° C are allowed, in view of the particular organism.
The flow of acute respiratory viral infection without temperature in most cases indicates a weakening of the immune system, the depletion of the body's internal reserves and a strong decrease in resistance to infection. Often, low rates indicate problems with the protective system, about moral or physical overload.
The lowering of the functions of immunity is often associated with a current infectious disease. For example, if a viral or other microbial infection alternates one after another, then the organism does not have time to recover, being weakened by the previous pathology. A sharp surge of a new disease can become an unbearable strain on the immune system, which affects the weak response from the thermoregulation apparatus.
In a smaller number of cases, normal temperatures for a viral infection can be triggered by hypothalamic dysfunction, which is often observed with severe intoxication of the body. The bottom line is that one of the functions of the hypothalamus is the control over the processes of thermoregulation in the body. And, as you know, the hypothalamus (the department of the intermediate brain, responsible for the constancy of the internal environment of the body) is very sensitive to the effects of toxic substances. During intoxication (an integral part of SARS), a temporary malfunction may occur in the hypothalamus, which affects the improper operation of the thermoregulatory system.
Symptoms
Symptoms of acute respiratory viral infection without temperature are not specific, therefore it is very difficult to determine the patient's normal parameters without using a thermometer.
With the standard course, the signs of the disease are unchanged, except for a rise in temperature:
- soreness in the throat, swelling of the nasopharynx;
- rhinitis, obstructed nasal breathing, mucous discharge from the nose;
- sneezing;
- dry cough, gradually turning into wet;
- pain in the muscles, a feeling of aches all over the body.
Most acute respiratory viral infections begin with sore throat, mucous discharge from the nose, a feeling of malaise. Since the temperature values are unchanged, or even underestimated, there may be strong weakness, apathy, the patient is constantly tending to sleep, irritability may appear.
If the normal temperature gradually turns into hypothermia (lowering t °), then it is necessary to consult a doctor.
Cough with SARS without fever
First, we will understand why there is a cough in ARVI - they serve as a protective reaction of our body. With the help of a cough reflex, the airways try to get rid of the discharge (sputum), and also reduce the irritation of the respiratory organs from the products of the vital activity of viruses and bacteria.
If coughing with ARVI occurs without a temperature, then most patients continue in this state to go to work or to study. This situation is unacceptable, because the sick person is the source of a viral infection, and the disease itself can be complicated, for example, by bacterial pathology.
In the case when cough not only does not pass, but also intensifies, this may be a sign of the spread of the inflammatory process to the lower parts of the respiratory system. If the temperature in this case does not increase further, then this indicates serious problems with immunity. The body does not fight, and the patient's condition worsens - of course, this is not good. It is necessary to consult a specialist, because the disease can be complicated by bronchitis, pneumonia. In addition, the acute process can develop into chronic, chronic pharyngolaringitis or bronchitis.
Therefore, if the patient coughs, then you should consult a doctor, regardless of whether he has a fever, or not. It is much easier to prevent complications than to try to cure them later.
SARS in a child without fever
In early childhood (up to 3 years), an acute respiratory viral infection in a child without fever can often occur. Experts cause this situation not fully formed thermoregulatory apparatus, as well as not fully developed neural mechanisms (connections). But, even if the temperature values are normal, and the baby has other symptoms of ARVI, then it is still necessary to take the child to the doctor.
Among other things, the child can develop cough against the background of ARVI, which is explained by the high vulnerability of the mucous tissues of the children's respiratory system. If the rest of the child feels well, and in the process of breathing does not cause any wheezing, then there is no special cause for concern. However, the doctor's prescriptions still need to be followed.
A kid with signs of acute respiratory infections, but without a fever, should stay at home, do not attend pre-school and school institutions, if only because there is a potential danger of an infectious-inflammatory process from acute to chronic. At an early age, all inflammatory diseases tend to spread throughout the body. For this reason, the baby, even without temperature, should be shown to the pediatrician.
What can lead to an acute respiratory viral infection with normal temperature for a child is difficult to say, since it directly depends on the state of its immune system.
SARS without fever during pregnancy
In pregnancy, women's immunity is weakened and depressed. This happens not only because of hormonal adjustment. Another reason for the weakness of the immune defense is that special conditions are created in the body so that the synthesized antibodies are not so strong as to attack the unborn child as a foreign body. This is a very delicate and thoughtful course of nature. The body of a pregnant woman should be set up only for the maintenance of pregnancy, despite the fact that during this period it is weakened to the effects of viral and other infections.
Undoubtedly, ARVI during pregnancy is not uncommon, as well as colds, runny nose, etc. And in such situations, the expectant mother should be especially attentive to her body.
If an infectious disease occurs without a rise in temperature, then this is no reason to ignore the symptoms from the point of view of "nothing terrible, it will pass by itself". Absence of temperature does not mean that there is no inflammatory process in the body. Moreover, often inadequate response of the thermoregulation system to the penetration of a viral infection can indicate that the woman's immune system is so weak that it simply can not "turn on" the temperature rise. And if the future mother continues to engage in ordinary activities during the illness, go to work and travel in public transport, the danger of joining a secondary infection and the development of complications increases at times.
Do not allow negative consequences: contact the doctor, he will write out the treatment and will necessarily issue a certificate of temporary incapacity for work.
Who to contact?
Diagnostics
Of course, diagnosing an acute respiratory viral infection without a temperature is a bit more complicated than with a classic course of the disease. After all, elevated temperature values are one of the symptoms of a viral disease. In this case, other signs of ARVI come to the rescue:
- Assessment of the epidemiological situation in the community, in the family, at work or school;
- the order of occurrence of symptoms of a viral infection;
- characteristics of cough, sputum and mucous discharge from the nose.
With an accurate determination of the type of pathogen it is possible only with the help of laboratory tests that detect viral antigens. In this case, an immunofluorescence reaction or detection of antibodies to viruses is used.
To clarify the diagnosis in rare cases, serological reactions are used in paired sera, which are withdrawn at the initial stage of the disease and in the process of recovery.
Treatment of acute respiratory infections without temperature
As we said earlier, the lack of temperature in ARVI often tells us about weak immune defense. For this reason, the first thing to do is to take care of the support of immunity, that is, to provide the body with rest, to protect from stress and additional stress, to provide full sleep and nutrition.
With weakness of the body and other symptoms of SARS, it is recommended to conduct warming procedures. Suitable warm drink, hot foot baths, a warm blanket, woolen socks, a warmer to the feet. These treatments can be used alone, or combined together. Dress warmly enough, avoid drafts, but do not forget to ventilate the room.
In order to maintain and strengthen immunity, it is recommended to take adaptogenic drugs: tinctures of ginseng, echinacea, eleutherococcus, magnolia vine, etc. The use of such drugs can be carried out for one to two months in a row.
Also, for a full-fledged work of immune protection, it is important to supply the body with all vitamins and microelements. A balanced nutritional diet, an additional intake of multivitamin funds will be able to fill the lack of all the substances necessary for normal life of the organism.
Medicines for acute respiratory virus infections with normal temperature are prescribed as symptomatic treatment. Not later than on the second day after the onset of the disease, antiviral drugs are taken:
- adamantane series (remantadine);
- drugs-inhibitors of neuraminidase (tamiflu, relenza);
- interferon inducers (cycloferon).
With a cold, vasoconstrictive nasal drops or sprays (naphthyzine, NOC spray) are used.
When coughing - mucolytic (expectorant) drugs (mukaltin, solvine, etc.).
In addition, the prescription of the doctor can take ascorbic acid and multivitamin funds.
How to get a sick leave?
Many people are interested in the question, is it possible to get a sick list in ARVI without a temperature? Indeed, a few years ago, the certificate issued, focusing mainly on temperature performance. However, this is fundamentally wrong, since many infectious diseases, including ARVI, often occur with normal temperature values.
Unambiguously, in case of viral infections the hospital should give out in all cases a referral to the doctor, since the patient may pose a threat to the health of others. Currently, the leaf is given, despite the absence of temperature, of course, if the remaining symptoms of the disease are present. And the more pronounced the remaining signs of the disease, the greater the likelihood that the hospital will be issued.
Pregnant women with viral diseases have a sick leave sheet in any case.
So feel free to contact your doctor, despite the fact that you have an acute respiratory viral infection without fever. Normal indicators - not a reason to endure the disease "on the feet."