fever of unknown origin pediatrics differential diagnosis

... Chapter 019. Fever of Unknown Origin (Part 1) Harrison's Internal Medicine > Chapter 19. Fever of Unknown Origin Definition and Classification Fever of unknown origin (FUO) was ... 1961 as (1) temperatures of >38.3°C (>101°F) on several occasions; (2) a duration of fever of >3 weeks; and (3) failure to reach a diagnosis despite 1 week of inpatient investigation. ... the number of undetected cases of systemic lupus erythematosus and other autoimmune diseases. Table 19-1 Classic FUO in Adults A uthors (Year of Publicati Y ears of Study o. of Cases ...

Ngày tải lên: 06/07/2014, 12:20

... Chapter 019. Fever of Unknown Origin (Part 4) Specialized Diagnostic Studies Classic FUO A stepwise flow chart depicting the diagnostic workup and therapeutic management of FUO is provided ... parasitic genera and species. The eventual clinical validation of such microarrays will further diminish rates of undiagnosed FUO of infectious etiology. tissue removed during prior relevant ... indicated. In the setting of recurrent fevers with lymphocytic meningitis (Mollaret's meningitis), cerebrospinal fluid can be tested for herpesvirus, with use of the polymerase chain reaction...

Ngày tải lên: 06/07/2014, 12:21

... scanning in the diagnosis of FUO. Chapter 019. Fever of Unknown Origin (Part 5) In any FUO workup, the erythrocyte sedimentation rate (ESR) should be determined. Striking elevation of the ESR ... renal or hepatic vessels, and may permit diagnosis of arteritis when biopsy is difficult. Ultrasonography of the abdomen is useful for investigation of the hepatobiliary tract, kidneys, spleen, ... "blind biopsy" of one or both temporal arteries may yield a diagnosis of arteritis. Tenderness or decreased pulsation, if noted, should guide the selection of a site for biopsy. Lymph...

Ngày tải lên: 06/07/2014, 12:21

... >80% of HIV-infected patients, but drug fever and lymphoma remain important considerations. Treatment of HIV-associated FUO depends on many factors and is discussed in Chap. 182. Fever of Unknown ... therapy based on the probability of various causes of fever and on the calculated risks and benefits of a guided empirical approach. The age and physical state of the patient are factors as well: ... usually continued for up to 6 weeks. A failure of the fever to respond over this period suggests an alternative diagnosis. The response of rheumatic fever and Still's disease to aspirin and...

Ngày tải lên: 06/07/2014, 12:21

... specific: Analysis of 100 patients with acute fever or fever of unknown origin. Clin Infect Dis 23:298, 1996 [PMID: 8842267] Kazanjian P H: Fever of unknown origin: Review of 86 patients treated ... al: Long-term follow- up of patients with undiagnosed fever of unknown origin. Arch Intern Med 156:618, 1996 [PMID: 8629872] Knockaert DC, Vanneste LJ: Fever of unknown origin in elderly patients. ... Beeson PB: Fever of unexplained origin. Medicine 40: 1, 1961 [PMID: 13734791] Volk EE et al: The diagnostic usefulness of bone marrow cultures in patients with fever of unknown origin. Am...

Ngày tải lên: 06/07/2014, 12:21

... Mediterranean fever 3 No fever a 27 a No actual fever observed during 2–3 weeks of inpatient observation. Includes patients with exaggerated circadian rhythm. Chapter 019. Fever of Unknown Origin ... drug-related etiology must be considered in any case of prolonged fever. Any febrile pattern may be elicited by a drug. Virtually all classes of drugs cause fever, but antimicrobial agents (especially ... This observation does not diminish the importance of considering neoplasia in the initial diagnostic evaluation of a patient with fever. A number of patients in these series had temporal arteritis,...

Ngày tải lên: 06/07/2014, 13:20

... intentional release of infectious agents, many of which cause illnesses presenting with prolonged fever, underscores the need for obtaining an insightful environmental, occupational, and professional ... and professional history, with early notification of public health authorities in cases of suspicious etiology (Chap. 214). Table 19-3 Causes of FUO in Adults in the United States Infections ... Rickettsial infections Anaplasmosis Ehrlichiosis Murine typhus Q fever Rickettsialpox Rocky Mountain spotted fever Mycoplasmal infections Chlamydial infections Lymphogranuloma venereum...

Ngày tải lên: 06/07/2014, 13:20

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... case of heat injury would be brought before general courts martial and punished if found guilty of neglect of his troops. e definition of neglect was merely the occurrence of a single case of ... the nature of disease, about doctor-patient relationships, and about principles of caring for patients who came to me with symptoms of unknown origin. I have changed the names of the patients ... Jacobson, Vice Chancellor of Health Affairs of Van - derbilt University, and Dr. John Maupin, President of Meharry Medical College have been constant sources of support. Many of the patients were...

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... Comparison of the psychometric properties of validity for differential diagnosis of neuropathic pain vs non-neuropathic pain for a cut-off value ≥ 4 points in the Spanish version of the DN4 ... to reliability of the Spanish version of the DN4 question- naire. Our data support the reliability of the instrument both in terms of internal consistency (Cronbach's α of Table 2: Distribution of the ... A score of 1 is given to each positive item and a score of 0 to each negative item. The total score is calculated as the sum of all 10 items, and the cut-off value for the diagnosis of neuropathic...

Ngày tải lên: 18/06/2014, 22:20

... Comparison of the psychometric properties of validity for differential diagnosis of neuropathic pain vs non-neuropathic pain for a cut-off value ≥ 4 points in the Spanish version of the DN4 ... A score of 1 is given to each positive item and a score of 0 to each negative item. The total score is calculated as the sum of all 10 items, and the cut-off value for the diagnosis of neuropathic ... to reliability of the Spanish version of the DN4 question- naire. Our data support the reliability of the instrument both in terms of internal consistency (Cronbach's α of Table 2: Distribution of the...

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