What are the symptoms of cotton fever?


The symptoms occur immediately following an injection and include fever, chills, shortness of breath, and violent shaking.

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Cotton fever is a syndrome that is often associated with intravenous drug use, specifically with the use of cotton to filter drugs like heroin. It has been established that the condition derives from an endotoxin released by the bacteria Enterobacter agglomerans which colonizes cotton plants, not from the cotton itself. A condition very similar to cotton fever was described in the early 1940s among cotton-farm workers. The term cotton fever was coined in 1975 after the syndrome was recognized in intravenous drug users. However, some sources have attributed the symptoms of cotton fever with sepsis occasioned by unsafe and unsanitary drug injection practices. This is borne out by the fact that cotton fever symptoms have occurred among all intravenous drug users, with various filter materials utilized.

Metal fume fever, also known as brass founders' ague, brass shakes, zinc shakes, galvie flu, metal dust fever, or Monday morning fever, is an illness caused primarily by exposure to certain fumes. Workers breathe in fumes from chemicals such as zinc oxide (ZnO) or magnesium oxide (MgO), which are themselves created by heating or welding certain metals, particularly galvanized steel. Chromium is also a hazard, from stainless steel. Cadmium, present in some older silver solder alloys can, in extreme cases, cause loss of consciousness within a matter of minutes. Iron itself, and so most simple steels, does not give rise to it.]citation needed[

The symptoms are nonspecific but are generally flu-like including fever, chills, nausea, headache, fatigue, muscle aches, joint pains, shortness of breath, chest pain, and cough. A sweet or metallic taste in the mouth may also be reported along with a dry or irritated throat which may lead to hoarseness. Symptoms of a more severe metal toxicity may also include a burning sensation in the body, shock, no urine output, collapse, convulsions, shortness of breath, yellow eyes or yellow skin, rash, vomiting, watery or bloody diarrhea or low blood pressure, which require prompt medical attention. Flu-like symptoms will normally disappear within 24 to 48 hours. It often takes 4 days to fully recover.

Legionella longbeachae is one species of the family Legionellaceae. It was first isolated from a patient in Long Beach, California. It is found predominantly in soil and potting compost. In humans, the infection is sometimes called Pontiac Fever. Human infection from L. longbeachae is particularly common in Australia, but cases have been documented in other countries including the United States, Japan, Greece and the UK.

The infection can be very serious, often leading to hospitalisation and sometimes death.

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Dyspnea (/dɪspˈnə/ disp-NEE; also dyspnoea; Latin: dyspnoea; Greek: δύσπνοια, dýspnoia), shortness of breath (SOB), or air hunger, is the subjective symptom of breathlessness.

The clinical definition of dyspnea is an uncomfortable awareness of one's breathing effort. It is a normal symptom of heavy exertion but becomes pathological if it occurs in unexpected situations. In 85% of cases it is due to either asthma, pneumonia, cardiac ischemia, interstitial lung disease, congestive heart failure, chronic obstructive pulmonary disease, or psychogenic causes. Treatment typically depends on the underlying cause.


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