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Fever and leukocytosis appearing shortly after the onset of symptoms are regarded as important points in the diagnosis of coronary thrombosis. The rise in temperature is quite constant, usually running from 99.6 to 102 or 103 F. for a few days to a week and is apparently due to absorption of the decomposition products from the necrosing muscle in the infarct area.
The unusually high fever in the case of coronary thrombosis recorded here seems to make it worth reporting:
F. L. S., an executive in a local foundry, was 44 years of age and had apparently been in excellent health. He had always been athletic, full of abundant energy and kept up his gymnastics, volley ball, and golf throughout the year. He was a rather heavy smoker and moderate user of alcoholic liquors. He had passed several examinations for life insurance during recent years. I examined him in 1930
Foster JH. HYPERPYREXIA WITH CORONARY THROMBOSIS. JAMA. 1933;100(13):1027–1029. doi:10.1001/jama.1933.27420130003010b