title: Psychogenic fever in a patient with small cell lung cancer: a case report.
abstract: BACKGROUND
  Fever is common in malignant tumors. We report an exceptional case of psychogenic fever in a patient with small cell lung cancer. This is the first case report of psychogenic fever in a patient with small cell lung cancer.
  
  
  METHODS
  A 61-year-old Chinese man diagnosed with small cell carcinoma on June 30, 2012, came to our department with a complaint of fever lasting more than 1 month. He had undergone chemoradiotherapy for lung cancer 6 months previously. After admission, his body temperature fluctuated in the range of 37 °C to 39 °C. Somatic symptoms associated with anxiety were obvious. A 24-item Hamilton Anxiety Scale was used to assess the patient's condition. A score of 32 confirmed a diagnosis of severe anxiety. After a week of antianxiety treatment, the patient's temperature returned to normal.
  
  
  CONCLUSIONS
  Psychogenic fever is common in cancer patients and deserves more attention. Patients with psychogenic fever must be distinguished from patients with infectious fever (including neutropenic fever), and tumor fever. Additionally, antianxiety or antidepression treatment should be provided. A concern is that continual anxiety may adversely affect anticancer therapy.
authors.affiliation: Department of Oncology, Shengjing Hospital of China Medical University, Shenyang, 110004, China. 245551522@qq.com.
authors.forename: Mengdan
authors.initials: M
authors.lastname: Xu
authors.affiliation: Department of Oncology, Shengjing Hospital of China Medical University, Shenyang, 110004, China. zhangxy1@sj-hospital.org.
authors.forename: Xiaoye
authors.initials: X
authors.lastname: Zhang
authors.affiliation: Department of Oncology, Shengjing Hospital of China Medical University, Shenyang, 110004, China. xuzg@sj-hospital.org.
authors.forename: Zhaoguo
authors.initials: Z
authors.lastname: Xu
authors.affiliation: Department of Oncology, Shengjing Hospital of China Medical University, Shenyang, 110004, China. cuigy@sj-hospital.org.
authors.forename: Guoyuan
authors.initials: G
authors.lastname: Cui
authors.affiliation: Department of Oncology, Shengjing Hospital of China Medical University, Shenyang, 110004, China. yul@sj-hospital.org.
authors.forename: Li
authors.initials: L
authors.lastname: Yu
authors.affiliation: Department of Oncology, Shengjing Hospital of China Medical University, Shenyang, 110004, China. qixy@sj-hospital.org.
authors.forename: Xiaoying
authors.initials: X
authors.lastname: Qi
authors.affiliation: Department of Oncology, Shengjing Hospital of China Medical University, Shenyang, 110004, China. 811655776@qq.com.
authors.forename: Jia
authors.initials: J
authors.lastname: Lin
authors.affiliation: Department of Oncology, Shengjing Hospital of China Medical University, Shenyang, 110004, China. 1065632028@qq.com.
authors.forename: Yan
authors.initials: Y
authors.lastname: Liu
mesh_terms: D005334:Fever / Q000150:complications / Q000503:physiopathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D055752:Small Cell Lung Carcinoma / Q000150:complications / Q000503:physiopathology* / Q000523:psychology