Physical versus pharmacological counter-measures

Studies on febrile rabbits
  • Christoph Wenzel
  • Jürgen Werner
Article

Summary

128 experiments were carried out on febrile rabbits at air temperatures of 8, 18, 24 and 30° C in order to analyze the thermoregulatory effects and mechanisms of physical and/or pharmacological counter-measures. Fever was achieved by injection of 0.1 μg Salmonella typhi endotoxin (LPS)/kg into an ear vein. As the pharmacological counter-measure, injections of acetylsalicylic acid (ASA) into an ear vein were chosen. For the physical counter-measure, cooling thermodes (5° C) were constructed for the abdominal skin, for the ear and for the rectum. ASA injections had no effect on the first fever maximum, even if applied 20 to 60 min before the LPS injection, but eliminated the second fever maximum. Of course, the additional hyperthermia observed at 30° C ambient temperature could not be eliminated by the injections. On the other hand, cooling procedures can obviously not affect the pyrogen-induced temperature increase, but reduce the hyperthermic effect of a higher ambient temperature. Rectal cooling was more effective than ear or abdominal skin cooling. Abdominal cooling evoked an increase in metabolic heat production. Application of combined physical and pharmacological counter-measures achieved the strongest and quickest reduction of the second maximum, whereas the first maximum was not affected, as in all other experiments. The study emphasizes the necessity of taking into account the time course of the effector mechanisms in order to discriminate between hyperthermic and febrile components of temperature increase. In the initial phase cooling measures would evoke unwanted regulatory responses of the effectors, whereas during the second febrile maximum they would achieve a quicker reduction of core temperatures. Antipyretics can be applied at the beginning of effector increase. However, it should be taken into account that in many cases an increased febrile metabolic and circulatory load can be tolerated for the sake of a probable stimulation of the immune system and the elimination of secondary effect of pharmacological therapy.

Key words

Fever Temperature regulation Acetylsalicylic acid Cooling Rabbit 

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Copyright information

© Springer-Verlag 1988

Authors and Affiliations

  • Christoph Wenzel
    • 1
  • Jürgen Werner
    • 1
  1. 1.Institut für PhysiologieRuhr-Universität, MA 4/59Bochum 1Germany

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