CHAPTER 17 FEVER OF UNKNOWN ORIGIN Flashcards
it is the any febrile illness without initially obvious etiology
fever of unknown origin
reserve only for prolonged febrile illness without an established etiologies despite the intensive evaluation and diagnostic testing
fever of unknown origin
criteria that should be meet to say that it is fever of unknown origin
fever is >38.3 at least two occasions
illness duration of >3 weeks
no known immunocompromised state
diagnosis that remains uncertain
what do you call a fever that is repeated episodes of fever intersped with fever free intervals of at least 2 weeks and apparent remission of the underlying disease
recurrent fever
possible causes of FUO
infections
noninfectious inflammatory disease
neoplasm
miscellaneous causes
most common cause of fever of unknown origin in infectious disease
endocarditis
diverticulitis
vertebral osteomyelitis
extrapulmonary tuberculosis
most common cause of fever of unknown origin in neoplasms
malignant lymphomas
what is drug induced fever?
when drugs can cause fever with accompanying drug reaction of eosinophilia and systemic symptoms
common drugs that can cause drug induced fever
allopurinol carbamazepine lamotrigine phenytoin sulfasalazine
what is exercise induced hyperthermia
characterized by elevated body temperature that is associated with moderate to strenuous exercise lasting from half an hour without increasing the CRP levels or ESR