Psychogenic fever in a patient with small cell lung cancer: a case report

BMC Cancer

Case Report

Yan Liu¹  Guoyuan Cui¹  Mengdan Xu¹  Xiaoying Qi¹  Xiaoye Zhang¹  Jia Lin¹  Li Yu¹  Zhaoguo Xu¹ 

[1] Department of Oncology, Shengjing Hospital of China Medical University, 110004, Shenyang, China;

关键词: Psychogenic fever;    Anxiety;    Small cell carcinoma;    Duloxetine;   

DOI  :  10.1186/s12885-015-1462-z

 received in 2014-04-15, accepted in 2015-05-21,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundFever is common in malignant tumors. We report an exceptional case of psychogenic fever in a patient with small cell lung cancer. This is the first case report of psychogenic fever in a patient with small cell lung cancer.Case presentationA 61-year-old Chinese man diagnosed with small cell carcinoma on June 30, 2012, came to our department with a complaint of fever lasting more than 1 month. He had undergone chemoradiotherapy for lung cancer 6 months previously. After admission, his body temperature fluctuated in the range of 37 °C to 39 °C. Somatic symptoms associated with anxiety were obvious. A 24-item Hamilton Anxiety Scale was used to assess the patient’s condition. A score of 32 confirmed a diagnosis of severe anxiety. After a week of antianxiety treatment, the patient’s temperature returned to normal.ConclusionPsychogenic fever is common in cancer patients and deserves more attention. Patients with psychogenic fever must be distinguished from patients with infectious fever (including neutropenic fever), and tumor fever. Additionally, antianxiety or antidepression treatment should be provided. A concern is that continual anxiety may adversely affect anticancer therapy.

【 授权许可】

Unknown   
© Xu et al.; licensee BioMed Central. 2015. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.