And as far as how long you can survive with a high temp... It depends on your health and metabolic status before the disease process set in. Some people are able to compensate better/longer than others. I have seen super high temps last for days, and I have seen them last for just a few hours (before pt dies).
104.7 Out of state truck driver was driving wacky, pulled over by cops. He was sick, had chills, and turned the heater up full blast. He had a temp from whatever infectious process he had, then turned the heater up, windows up. Did I mention it was in July? The temp rapidly came down. 104.7 was what he presented with in the ER
I just had a 19 yr old F admitted to ICU 5 days post partum with a Temp of 105.7. Turned out she had sepsis from retained products of conceptions. We acted quickly and aggressively and she did fine in the end.
Once saw a really sick pt (not mine) who had mult issues all of which I can't remember. He did have malignant hyperthermia Tmax was 106.7!!! We attempted to Tx with Dantrolene (boy is that fun to give!) He died within the next few days.
106.7 neuroleptic malignant syndrome, patient survived episode. Surprisingly cooling and treating with dantrolene worked (we treated it like malignant hyperthermia). Patient died a week later, but from whatever caused the syndrome and not because of the fever.
i was working in ltc and it was a fairly new admit. 23 years old who had od's on some heroin / fentanyl mix going around detroit a few years back.
i was adamant about getting the guy transferred. he was on a vent and his sats were bad also.
of course this was at shift change...
the director of nursing didnt want to send him out because she said "we can handle these things here" and said "he just needs a gram of vanco", and so the adon starts an iv and they hook up the vanco.
i was about losing it here as i wasnt the only one thinking this was not a good situation.
the don/adon did not want to send the patient out. there was a hospital across the street even. but they would not get paid for the day if he left before midnite.
he was sent out shortly after midnite thanks to some vigilant rt's and pulmonologist.
never saw him again after that, so i dont know what happened to him.
something tells me hes probably gone on to greener pastures...
i know most neuros tend to run temps, and this guy was definetly a vegetable, unfortunately, but a temp of 107 in a 23 year old guy in a long term care facility was just too much to deal with.
i am no longer working at that place, thankfully!