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Koren SF, Engel LE, Møller MP. Preoperative psychogenic fever: to operate or not to operate. J Surg Case Rep. 2021;2021(3):rjab114doi: 10.1093/jscr/rjab114.
Koren, S. F., Engel, L. E., & Møller, M. P. (2021). Preoperative psychogenic fever: to operate or not to operate. Journal of surgical case reports, 2021(3), rjab114. https://doi.org/10.1093/jscr/rjab114
Koren, Sondre F, et al. "Preoperative psychogenic fever: to operate or not to operate." Journal of surgical case reports vol. 2021,3 (2021): rjab114. doi: https://doi.org/10.1093/jscr/rjab114
Koren SF, Engel LE, Møller MP. Preoperative psychogenic fever: to operate or not to operate. J Surg Case Rep. 2021 Mar 29;2021(3):rjab114. doi: 10.1093/jscr/rjab114. eCollection 2021 Mar. PMID: 33815760; PMCID: PMC8007217.
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J Surg Case Rep. 2021 Mar 29;2021(3):rjab114. doi: 10.1093/jscr/rjab114. eCollection 2021 Mar.

Preoperative psychogenic fever: to operate or not to operate.

Journal of surgical case reports

Sondre F Koren, Lilan E Engel, Michael P Møller

Affiliations

  1. Department of Plastic Surgery, Herlev and Gentofte Hospital, Copenhagen University, Herlev, Denmark.

PMID: 33815760 PMCID: PMC8007217 DOI: 10.1093/jscr/rjab114

Abstract

Postponing elective surgery because of fever on the morning of the operation is frustrating for patients as well as doctors. It is also not cost effective and the unused operation capacity could have been used on other patients. On the other hand, surgery and general anaesthesia will put unwanted physiological strain on a patient fighting an on-going infection. Preoperative fever therefore poses a dilemma; to proceed with-, or to postpone the scheduled operation. We report a case where a 58-year-old woman, scheduled for prophylactic bilateral mastectomy and primary implant-based reconstruction, was postponed because of a temperature of 37.9°C. The morning of her new operation date, she developed a fever of 39.2°C which fell to 38.2°C shortly after administration of 0.25 mg triazolam. She was diagnosed with psychogenic fever, and we went through with the operation, even though the patient was febrile. The operation was successful, and she had no post-operative complications.

Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2021.

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