Fever of unknown origin: Difference between revisions
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== | {{Adult top}} [[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== | |||
==See Also== | |||
*[[Fever]] | |||
*[[Fever of unknown origin (peds)]] | |||
==References== | |||
<references/> | |||
[[Category:ID]] | [[Category:ID]] | ||
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