Protocolo diagnóstico de las fiebres prolongadas

  1. García de Tena, Jaime
  2. Hernández Gutiérrez, C.
  3. Betancort Plata, Christian
  4. Rodríguez Zapata, Manuel
Zeitschrift:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Datum der Publikation: 2014

Titel der Ausgabe: Enfermedades infecciosas (IV): brucelosis, tuberculosis, infecciones por legionella y rickettsia

Serie: 11

Nummer: 52

Seiten: 3086-3090

Art: Artikel

DOI: 10.1016/S0304-5412(14)70744-9 DIALNET GOOGLE SCHOLAR

Andere Publikationen in: Medicine: Programa de Formación Médica Continuada Acreditado

Zusammenfassung

The term fever of unknown origin (FUO) is reserved for febrile processes with temperatures greater than 38.3 °C documented on more than one occasion, lasting longer than 3 weeks, with no determined cause and after a review of the medical record and a complete physical examination followed by appropriate complementary diagnostic tests. FUO is caused by infections, neoplasms, inflammatory diseases and miscellaneous conditions that include drug fever and factitious fever. For a growing proportion of patients, the cause of the fever is not determined. Thorough reviews of the medical record, detailed physical examinations and periodic reassessments are essential in the study of FUO. If an etiological diagnosis is not reached after performing a basic battery of additional tests, more specific diagnostic tests should be considered based on previous findings. In general, therapeutic trials with antibiotics or steroids should be avoided.

Bibliographische Referenzen

  • R.G. Petersdorf, P.B. Beeson Fever of unexplained origin: Report on 100 cases Medicine, 40 (1961), pp. 1-30
  • D.T. Durack, A.C. Street Fever of unknown origin reexamined and redefined Curr Clin Top Infect Dis, 11 (1991), pp. 35-51
  • E.M.H.A. De Kleijn, J.P. Vandenbroucke, J.W.M. van der Meer Fever of unknown origin (FUO). I A. prospective multicenter study of 167 patients with FUO, using fixed epidemiologic entry criteria Medicine, 76 (1997), pp. 392-400
  • E.M.H.A. De Klein, J.P. Vandenbroucke, J.W.M. van der Meer Fever of unknown origin (FUO). II. Diagnostic procedures in a prospective multicenter study of 167 patients Medicine, 76 (1997), pp. 401-414
  • C.P. Bleeker Rovers, F.J. Vos, E.M. de Kleijn, A.H. Mudde, T.S. Dofferhoff, C. Richter A prospective multicenter study on fever of unknown origin: the yield of a structured diagnostic protocol Medicine, 86 (2007), pp. 26-38
  • K. Hayakawa, B. Ramasami, P.H. Chandrasekar Fever of unknown origin: an evidence-based review Am J MEd Sci, 344 (2012), pp. 307-316
  • J.A. Gelfand, M.V. Callahan Fever of unknown origin D.L. Longo, A.S. Fauci, D.L. Kasper, S.L. Hauser, J.L. Jameson, J. Loscalzo (Eds.), Harrison's Principles of Internal Medicine (18th), McGraw-Hill, New York (2012), p. 158
  • J. Tolia, L.G. Smith Fever of unknown origin: historical and physical clues to making diagnosis Infect Dis Clin N Am, 21 (2007), pp. 917-936
  • B.A. Cunha Fever of unknown origin: focused diagnostic approach based on clinical clues from the history, physical examination and laboratoy tests Infect Dis Clin N Am, 21 (2007), pp. 1137-1187
Fuente de los datos: Dialnet