Increased body temperature secondary to total parenteral nutrition.
Administration of total parenteral nutrition (TPN) (glucose/amino acids), on the 2nd day after surgery, to a 26-year-old male with multiple fractures resulted in a rise in rectal temperature from 37.6 to 39 degrees C. Resting energy expenditure showed a sustained 23% increase when the nutritional intake was changed from 5% dextrose to TPN. This case demonstrates that the increased metabolic rate associated with administration of TPN in acutely injured patients may be associated with an increase in body temperature.
D000328:Adult; D004734:Energy Metabolism; D005334:Fever / Q000209:etiology*; D005592:Fracture Fixation; D050723:Fractures, Bone / Q000601:surgery; D006801:Humans; D008297:Male; D010288:Parenteral Nutrition / Q000009:adverse effects*; D010289:Parenteral Nutrition, Total / Q000009:adverse effects*