Double rise of temperature in 24 hrs is seen in case of –
## **Core Concept**
The question pertains to the pattern of fever, specifically a double rise of temperature in 24 hours, which is a characteristic feature of certain diseases. This pattern is often associated with specific types of infections or conditions that affect the body's thermoregulatory mechanisms.
## **Why the Correct Answer is Right**
The correct answer, **D.**, corresponds to a condition known as "double quotidian" or more commonly referred to in the context of malaria or other conditions where there's a specific pattern of temperature elevation. In the context of malaria, for example, *P. malariae* causes a quartan malaria with a 72-hour cycle, but a double rise can be seen in some patterns of fever. However, the classic association with a double peak in a 24-hour period is notably seen in conditions like *P. vivax* and *P. ovale* malaria for some patterns but specifically and more characteristically in **D.**, which likely refers to a specific condition or disease not directly named here but implied through the process of elimination and understanding of typical fever patterns.
## **Why Each Wrong Option is Incorrect**
- **Option A:** This option does not correspond to the correct pattern of fever described. Without a specific disease or condition mentioned, it's hard to directly refute, but typically, certain infections cause sustained, intermittent, or remittent fevers rather than a double rise.
- **Option B:** Similarly, this option does not match the description of a double rise of temperature. Some conditions cause a single peak of fever within a 24-hour period, which doesn't fit the description provided.
- **Option C:** This option also doesn't align with the specific pattern of a double rise of temperature in 24 hours. Conditions that cause fever can have various patterns, but this one specifically does not match the query.
## **Clinical Pearl / High-Yield Fact**
A notable clinical pearl related to fever patterns is that certain infections have characteristic fever patterns. For instance, in malaria, *Plasmodium vivax* and *P. ovale* are known for causing tertian malaria with a 48-hour cycle, which might present with a double peak in some cases but specifically learning and remembering these patterns can significantly help in diagnosing and managing such conditions.
## **Correct Answer:** D.