[不明原因发热：感染性病因及诊断原则]

[Fever of unknown origin : infectious etiology and diagnosis principles].

作者信息

Duca E

机构信息

Facultatea de Medicină, Disciplina de Microbiologie, Universitatea de Medicină şi Farmacie Gr.T. Popa Iaşi.

出版信息

Rev Med Chir Soc Med Nat Iasi. 2001 Jul-Sep;105(3):481-5.

PMID:12092177

Abstract

The paper has 3 parts: definitions, causes and diagnosis principles in prolonged fevers of infections etiology. The non infections causes of FUO are only mentioned. The infections causes are presented as: Bacteria, Viruses, Mycetes and Protozoa. The part regarding the etiological diagnosis firstly includes data about the microbiological diagnosis methods and samples in four steps: a) routine samples done for every febrile patient in a general hospital; b) all the accessible samples and c) samples obtained by invasive procedures (needle biopsies and open biopsies). When all of these had negative results in microbiological tests, a last possibility is adopted: exploratory laparatomy, eventually by sampling some specimens. Finally, conditions of obtaining interpretable serological tests are listed.

摘要

本文分为三个部分

感染性病因长期发热的定义、病因及诊断原则。仅提及了不明原因发热（FUO）的非感染性病因。感染性病因分为：细菌、病毒、真菌和原生动物。关于病因诊断的部分首先包括四个步骤中微生物诊断方法和样本的数据：a）综合医院每个发热患者进行的常规样本；b）所有可获取的样本；c）通过侵入性操作（针吸活检和开放活检）获得的样本。当所有这些样本的微生物检测结果均为阴性时，采用最后一种可能性： exploratory laparatomy（此处laparatomy疑有误，推测可能是exploratory laparotomy，即剖腹探查术），最终对一些标本进行采样。最后，列出了获得可解释血清学检测结果的条件。