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The Capital Region of Denmark - a part of Copenhagen University Hospital
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Preoperative psychogenic fever: to operate or not to operate

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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.

Original languageEnglish
JournalJournal of Surgical Case Reports
Volume2021
Issue number3
Pages (from-to)rjab114
ISSN2042-8812
DOIs
Publication statusPublished - Mar 2021

Bibliographical note

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

ID: 68206567