Fever of unknown origin history and symptoms: Difference between revisions
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{{SK}} febris continua e causa ignota; febris e causa ignota; febris E.C.I.; FUO; PUO; pyrexia of unknown origin | {{SK}} febris continua e causa ignota; febris e causa ignota; febris E.C.I.; FUO; PUO; pyrexia of unknown origin | ||
==Pattern of Fever== | |||
The pattern of fever generally offers little diagnostic value in ascertaining the etiology of fever. Previously described fever patterns include:<ref>{{cite book | last = Isaac | first = Benedict | title = Unexplained fever : a guide to the diagnosis and management of febrile states in medicine, surgery, pediatrics, and subspecialties | publisher = CRC Press | location = Boca Raton | year = 1991 | isbn = 9780849345562 }}</ref> | |||
* Sustained fever (suggestive of [[brucellosis]], [[drug fever]], [[lobar pneumonia]], [[tularemia]], [[typhoid]], [[typhus]]) | |||
* Remittent fever (suggestive of [[tuberculosis]], [[mycoplasma pneumonia]], [[malaria]], [[legionellosis]]) | |||
* Intermittent fever (suggestive of [[malaria]], [[Visceral leishmaniasis|kala-azar]], [[pyaemia]]) | |||
:* Double quotidian fever (suggestive of [[Still's disease]], [[legionellosis]], [[miliary tuberculosis]], [[kala-azar]]) | |||
:* Quotidian fever (suggestive of ''[[Plasmodium falciparum]]'' or ''[[Plasmodium knowlesi]]'' [[malaria]]) | |||
:* Tertian fever (suggestive of ''[[Plasmodium vivax]]'' or ''[[Plasmodium ovale]]'' [[malaria]]) | |||
:* Quartan fever (suggestive of ''[[Plasmodium malariae]]'' [[malaria]]) | |||
:* Alternate-day fever (suggestive of response to [[antipyretic]] [[dosage|dosage schedule]]) | |||
* Hyperpyrexia (suggestive of [[intracranial hemorrhage]], [[septicemia]], [[Kawasaki disease]], [[thyroid storm]], [[drug fever]]) | |||
* Hectic or spiking pattern (suggestive of [[biliary tract|biliary]] or [[urinary tract infection]], [[endocarditis]]) | |||
* Irregular pattern (suggestive of [[fever|factitious fever]]) | |||
* Pel-Ebstein pattern (suggestive of [[Hodgkin's lymphoma]]) | |||
* Picket fence pattern (suggestive of [[mastoiditis|acute mastoiditis]] complicated by [[transverse sinus]] [[thrombosis]]) | |||
* Saddleback pattern (suggestive of [[dengue fever]], [[leptospirosis]], [[poliomyelitis]], [[human granulocytic ehrlichiosis]]) | |||
* Wunderlich curve pattern (suggestive of [[typhoid fever]]) | |||
==References== | ==References== | ||
Revision as of 20:48, 19 March 2015
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Synonyms and keywords: febris continua e causa ignota; febris e causa ignota; febris E.C.I.; FUO; PUO; pyrexia of unknown origin
Pattern of Fever
The pattern of fever generally offers little diagnostic value in ascertaining the etiology of fever. Previously described fever patterns include:[1]
- Sustained fever (suggestive of brucellosis, drug fever, lobar pneumonia, tularemia, typhoid, typhus)
- Remittent fever (suggestive of tuberculosis, mycoplasma pneumonia, malaria, legionellosis)
- Intermittent fever (suggestive of malaria, kala-azar, pyaemia)
- Double quotidian fever (suggestive of Still's disease, legionellosis, miliary tuberculosis, kala-azar)
- Quotidian fever (suggestive of Plasmodium falciparum or Plasmodium knowlesi malaria)
- Tertian fever (suggestive of Plasmodium vivax or Plasmodium ovale malaria)
- Quartan fever (suggestive of Plasmodium malariae malaria)
- Alternate-day fever (suggestive of response to antipyretic dosage schedule)
- Hyperpyrexia (suggestive of intracranial hemorrhage, septicemia, Kawasaki disease, thyroid storm, drug fever)
- Hectic or spiking pattern (suggestive of biliary or urinary tract infection, endocarditis)
- Irregular pattern (suggestive of factitious fever)
- Pel-Ebstein pattern (suggestive of Hodgkin's lymphoma)
- Picket fence pattern (suggestive of acute mastoiditis complicated by transverse sinus thrombosis)
- Saddleback pattern (suggestive of dengue fever, leptospirosis, poliomyelitis, human granulocytic ehrlichiosis)
- Wunderlich curve pattern (suggestive of typhoid fever)
References
- ↑ Isaac, Benedict (1991). Unexplained fever : a guide to the diagnosis and management of febrile states in medicine, surgery, pediatrics, and subspecialties. Boca Raton: CRC Press. ISBN 9780849345562.