Fever of unknown origin: Difference between revisions

Latest revision as of 23:07, 28 November 2019

This page is for adult patients. For pediatric patients, see: fever of unknown origin (peds)

Background

Clinical Features

Differential Diagnosis

Infectious disease (22%)
- EBV
- UTI
- Enterovirus
- Lyme
- Cat-scratch disease
- Osteomyelitis
- Psittacosis
- Rheumatic fever
- Crohn's
- Bacterial meningitis
Autoimmune (6%)
- JRA
- SLE
- PAN
Malignancy (2%)
- Leukemia
- Lymphoma
Drug-induced fever (2%)
Factitious (2%)
No Etiology (67%)

Evaluation

Workup

Phase 1

CBC
ESR
TB test
MonoSpot
CXR
blood culture
ASLO
ANA
HIV

Phase 2

LP
blood culture again
Sinus/mastoid x-ray
Ophtho exam for iridocyclits
CMV, Toxo, Hep A/B, Tularemia, Brucellosis, Leptospirosis, Salmonellosis
LFTs

Phase 3

Abd ultrasound
Abd CT
Gallium/Indium scanning
UGI series with sbft
Bone marrow
Technetium bone scan

Management

Disposition

References

Authors:

@@ Line 1: / Line 1: @@
-==Diagnosis==
+{{Adult top}} [[fever of unknown origin (peds)]]
+==Background==
-Infectious disease (22%)
+==Clinical Features==
--EBV
--UTI
+==Differential Diagnosis==
+*Infectious disease (22%)
+**[[EBV]]
+**[[UTI]]
+**Enterovirus
+**[[Lyme]]
+**[[Cat-scratch disease]]
+**[[Osteomyelitis]]
+**[[Psittacosis]]
+**[[Rheumatic fever]]
+**[[Crohn's]]
+**Bacterial [[meningitis]]
+*Autoimmune (6%)
+**JRA
+**[[SLE]]
+**PAN
+*Malignancy (2%)
+**Leukemia
+**Lymphoma
+*Drug-induced fever (2%)
+*Factitious (2%)
+*No Etiology  (67%)
--Enterovirus
+==Evaluation==
+===Workup===
+====Phase 1====
+*CBC
+*ESR
+*TB test
+*MonoSpot
+*[[CXR]]
+*[[blood culture]]
+*ASLO
+*ANA
+*[[HIV]]
--Lyme
+====Phase 2====
+*[[LP]]
+*[[blood culture]] again
+*Sinus/mastoid x-ray
+*Ophtho exam for iridocyclits
+*CMV, Toxo, Hep A/B, [[Tularemia]], [[Brucellosis]], [[Leptospirosis]], [[Salmonellosis]]
+*LFTs
--Cat-scratch
+====Phase 3====
+*Abd ultrasound
+*Abd CT
+*Gallium/Indium scanning
+*UGI series with sbft
+*Bone marrow
+*Technetium bone scan
--Osteomyelitis
+==Management==
--Psittacosis
--Rheumatic fever
+==Disposition==
--Crohn's
--Bacterial meningitis
-Autoimmune (6%)
--JRA
--SLE
--PAN
-Malignancy (2%)
--Leukemia
--Lymphoma
-Drug-induced fever (2%)
-Factitious (2%)
-No Etiology  (67%)
-==Workup==
-Phase 1:
-CBC
-ESR
-TB test
-MonoSpot
-CXR
-BCx
-ASLO
-ANA
-HIV
-Phase 2:
-LP
-BCx again
-Sinus/mastoid x-ray
-Ophtho exam for iridocyclits
-CMV, Toxo, Hep A/B, Tularemia, Brucellosis, Leptospirosis, Salmonellosis
-LFTs
-Phase 3:
-Abd U/S
-Abd CT
-Gallium/Indium scanning
-UGI series c sbft
-Bone marrow
-Technetium bone scan
-==Source ==
-/2/09 PANI
+==See Also==
+*[[Fever]]
+*[[Fever of unknown origin (peds)]]
+==References==
+<references/>
 [[Category:ID]]