作者: Masashi Goto , Hiroshi Koyama , Osamu Takahashi , Tsuguya Fukui
DOI: 10.2169/INTERNALMEDICINE.46.6038
关键词:
摘要: Objective: To describe characteristics and outcomes for patients hospitalized with fever, not only fever of unknown origin (FUO). Methods: Medical records were reviewed 226 consecutive in a Japanese referral hospital as one the clinical problems. Results: Although majority illnesses involved some sort infection (54%), noninfectious inflammatory diseases, particularly adult Stills disease (n=6) primary vasculitis syndromes (n=5) including 3 cases Behcets disease, represented leading cause who met definition FUO [16/51(31%)]. Tuberculosis psychological disorders associated late diagnosis. However, there was patient meeting among those disorder. Among prolonged did strictly meet FUO, considerable number critical illnesses, such intra-abdominal abscess, polymyalgia rheumatica, sarcoidosis, ulcerative colitis, Castlemans hematological solid malignancies, panhypopituitarism. Drug-induced systemic viral unspecified difficult to definitively diagnose, although these pathologies suspected causes fever. Follow-up without definitive diagnosis at discharge confirmed that subsided spontaneously or properly treated after every none died underlying febrile illness. Conclusions: The present findings, from all displaying hospitalization, are agreement findings prior series. Strict use is thus unwarranted when managing