Coronavirus infection and fever

Coronavirus infection and fever

In the light of our current scientific knowledge:

  1. The majority of the COVID-19 illness - caused by the SARS-CoV-2 virus - is asymptomatic or mild in most healthy children, adolescents and young-middle-aged adults (167). It is expected that 95% of the population will be infected and immunized this way (164). The protection of the rest of the population with more severe symptoms will be decisively influenced by the dynamics of infections spread.
  2. Fever, as a natural and useful reaction, is basically not to be reduced, since the activity of the immune system is linked to fever as a well-regulated process.
  3. Thus, it is to advise, that homecared patients in good general condition should not routinely inhibit fever medically, even if they have to endure some suffering. This has its advantages.
  4. It is not the aim to achieve fever-free body temperature during infection. The height of the fever primarily does not reflect the severity of the infection, but rather the degree of the organisms reaction. It can reach up to 41oC. Even in very severe COVID-19 patients, the benefit of high fever has been detected (168).
  5. In a typical, mild course, the fever subsides within 1-3 days as the infection is overcome.
  6. Reducing the fever should only serve to spare the weakened body's reserves and to reduce severe pain. E.g. at risk of circulatory, respiratory decompensation, depletion of fluid metabolism, nervous system involvement, etc..
  7. Get medical help if the condition of the patient so requires. You can find out how to do this on our website. Observe current epidemiological and governmental regulations!

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Refer to the literature by numbers in this document here: References

Version update: 14th April 2020