GOWER N D
J Clin Pathol. 1963 May;16(3):227-31. doi: 10.1136/jcp.16.3.227.
Marrow from 62 cases of pyrexia of undetermined origin was examined cytologically, histologically, and bacteriologically. Diagnostic findings were present in five cases (8%), but all these patients presented definite clinical or haematological indications for marrow biopsy. It is concluded that marrow examination is useful in the diagnosis of pyrexia of undetermined origin but that cases for study must be selected in the light of general principles. Fever alone, even though prolonged and undiagnosed, is not an indication for marrow biopsy.
对62例不明原因发热患者的骨髓进行了细胞学、组织学和细菌学检查。5例(8%)有诊断性发现,但所有这些患者均有明确的临床或血液学指征进行骨髓活检。结论是,骨髓检查对不明原因发热的诊断有用,但必须根据一般原则选择研究病例。仅发热,即使持续时间长且未确诊,也不是骨髓活检的指征。