In simple terms, the types of enzymes in the human body work most efficiently at around 98.6 degrees F or 37 degrees C. This has therefore become the optimum temperature for chemical reactions to occur in the human body. Enzymes play a part in thousands of chemical reactions in the body.
Having said that, it's wrong to think that anything outside 98.6 is abnormal. Scientists tend to speak nowadays of a body temperature range rather than that 98.6 figure. As long as your body temperature falls within the range of from about 97.5 to 98.8, everything is considered OK. The medical profession in the UK widen the parameters further by usually not considering anything between 96 and 104 as being life-threatening, except in the case of infants and young children. Enzymes quite happily perform their functions within this range although not necessarily at optimal efficiency at the two extremes.
Once you go out of this range, many symptoms begin to occur due to inactivation or suppresion of enzyme activity. These will include changes in blood pressure, respiratory rate, pulse rate, blood viscosity and hundreds of others. If the body core temperature is drastically outside it's normal range for a prolonged period, organ damage occurs which leads ultimately to fatality.
Infections cause the body to release chemicals which increase the core temperature. This is one reason why infections iinvariably cause fever. Under normal circumstances, these chemicals play a key part in the thermoregulation of the body allowing the core temperature to rise or fall.