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Division of Neurology (Drs. Przelomski and Marcus), the Division of Infectious Disease, Department of Medicine (Drs. Roth and Gleckman), Saint Vincent Hospital and University of Massachusetts Medical School, Worcester, MA.
We performed a prospective study of the frequency and cause of fever, defined as a rectal temperature of 
101 °F detected within the first 5 days, in 104 consecutive adults admitted to a community/teaching hospital because of a nontraumatic stroke. Fever was documented in 23 patients. A source for the fever was identified in 19 patients and was attributed to a pulmonary insult, either aspiration chemical pneumonitis or an infectious pneumonia, in 13 of these patients. Patients who experienced lacunar infarcts did not develop fever. Fever occurring in the wake of a stroke should not be attributed to the vascular process, but should direct attention to inflammatory disorders of the lungs.
Address correspondence and reprint requests to Dr. Gleckman, Director, Division of Infectious Disease, Saint Vincent Hospital, 25 Winthrop Street, Worcester, MA 01604.
Presented at the thirty-seventh annual meeting of the American Academy of Neurology, Dallas, TX, May 1985.
Accepted for publication July 2, 1985.
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