Vikram usually go for a walk in evening, once in an evening he diagnosed by severe pain and shivering. Fever is fluctuating. Studying the case, answer the following questions. (a) What is the pathogen and diseases?
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In health, body temperature is regulated around a set point of 37 ± 1°C, and a circadian temperature rhythm exists in which the highest temperature of each day occurs around 6 p.m. The variance between the highest and lowest core temperature in a given day is usually no more than 1° to 1.5°C. This circadian rhythm may differ among individuals but should be consistent in each person. Relative to the core (blood) temperature, oral temperature tends to be about 0.4°C lower and axillary temperature up to 1°C lower, while rectal temperature, probably because of fecal bacterial metabolism, averages about 0.5°C higher.
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