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Brief ReportBrief Report

Cotton Fever: A Condition Self-Diagnosed by IV Drug Users

Ashley Michelle Zerr, Kimberly Ku and Areeba Kara
The Journal of the American Board of Family Medicine March 2016, 29 (2) 276-279; DOI: https://doi.org/10.3122/jabfm.2016.02.150267
Ashley Michelle Zerr
From the Internal Medicine Residency (KK) and the Department of Medicine (AK), Indiana University School of Medicine (AMZ), Indianapolis; and Inpatient Medicine, IU Health Methodist Hospital, Indianapolis, IN (AK).
MS IV
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Kimberly Ku
From the Internal Medicine Residency (KK) and the Department of Medicine (AK), Indiana University School of Medicine (AMZ), Indianapolis; and Inpatient Medicine, IU Health Methodist Hospital, Indianapolis, IN (AK).
MD
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Areeba Kara
From the Internal Medicine Residency (KK) and the Department of Medicine (AK), Indiana University School of Medicine (AMZ), Indianapolis; and Inpatient Medicine, IU Health Methodist Hospital, Indianapolis, IN (AK).
MD
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    Table 1. Comparison of Reported Cotton Fever Cases
    ReferenceAge (Years)SexIV DrugTime Until Symptom Onset (min)Temperature upon Arrival (°C)HR (bpm)BP (mmHg)WBC Count at Admittance (k/mm3)Time Until Symptom Resolution (hours)Disposition
    223FHeroin1038.5130NA21,70012AMA
    222MHeroin1540.3132NA5,8007DC
    333FPentazocine and methylphenidateA few minutes36110140/904,20012DC
    438MHeroin1039.19699/382,800NADC
    536MDilaudid12038122120/5811,60048DC
    622MHeroin3039.4120123/80970012DC
    722FHeroin2039101106/6422,60024DC
    This article26FHeroinA few minutes38.6137129/472,0005AMA
    • AMA, left against medical advice; BP, blood pressure; DC, discharged; F, female; HR, heart rate; IV, intravenous; M, male; NA, not available; WBC, white blood cell.

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The Journal of the American Board of Family     Medicine: 29 (2)
The Journal of the American Board of Family Medicine
Vol. 29, Issue 2
March-April 2016
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Cotton Fever: A Condition Self-Diagnosed by IV Drug Users
Ashley Michelle Zerr, Kimberly Ku, Areeba Kara
The Journal of the American Board of Family Medicine Mar 2016, 29 (2) 276-279; DOI: 10.3122/jabfm.2016.02.150267

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Cotton Fever: A Condition Self-Diagnosed by IV Drug Users
Ashley Michelle Zerr, Kimberly Ku, Areeba Kara
The Journal of the American Board of Family Medicine Mar 2016, 29 (2) 276-279; DOI: 10.3122/jabfm.2016.02.150267
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