Feveris a common clinical sign in many kinds of diseases. The most common cause is
malnutrition related infections, such as tuberculosis, pneumonia, or
gastrointestinal disorders. Their treatments invariably depend on antibiotics.
However, fever could be resulted directly from severe deficiency of some
nutrients themselves, such as berlberi fever, ariboflavosis fever, or pellagra
fever. They were observed in a population with terribly hard labor and hunger,
such as in a labor camp 1958-1962 before and during Nationwide Hunger. This
paper introduces the follows: 1. Avitaminosis fevers due to deficiency of
thiamin, riboflavin, or niacin themselves might be found in cases with
prolonged severe labor and hunger 2. Thiamin deficiency fever was very violent
and often involved multiple organs and endocrine glands from different systems
and often leading to death. Its diagnosis was very complicated and confused,
which could be collectively termed as dysautonomia 3. High dose of parenteral
thiamin could surely bring down high fever in avitaminosis fever, however
unexpectedly, high fever due to different microbial infections including virus
and bacteria or even lymphoma could be normalized with it. Therefore, high dose
thiamin injection may be a physiologic anti-microbial agent comparable or
superior to the current best antibiotics.
Mr.
GONG KM was a 26-year-old laborer who suffered from frequent cramps and
persisting numbness of the extremities for 3 years. After arduous labor for
several days, he experienced sudden onset of high fever and severe headache as
if hit on the head with a hammer on a day of Feb 1959. He complained also
tightening of the chest. The temperature rose to 41˚C even under penicillin
from the beginning and followed by herbal medicine.
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