一名患有全身性发热疾病的儿童——鉴别诊断与管理

A child with a systemic febrile illness - differential diagnosis and management.

作者信息

Hofer Michaël, Mahlaoui Nizar, Prieur Anne-Marie

机构信息

Paediatric Rheumatology, Centre Multisite Romand de Rhumatologie Pédiatrique, Department of Paediatrics, University Hospitals of Lausanne and Geneva, Switzerland.

出版信息

Best Pract Res Clin Rheumatol. 2006 Aug;20(4):627-40. doi: 10.1016/j.berh.2006.04.001.

DOI:10.1016/j.berh.2006.04.001

PMID:16979528

Abstract

Fever is a common symptom in children and may sometimes be prolonged or recurrent. There are many differential diagnoses, which may lead to significant diagnostic delay. Diagnosis is based on the clinical presentation as well as a widespread panel of investigations that are necessary in order to exclude the many potential causes of fever before reaching a definite diagnosis. In particular, the physician will look for infections and malignancies before considering the disease as inflammatory. This chapter reviews the differential diagnosis of prolonged or recurrent fever, and discusses most of the inflammatory syndromes presenting with fever.

摘要

发热是儿童常见症状，有时可能会持续或反复出现。有许多鉴别诊断方法，这可能导致诊断显著延迟。诊断基于临床表现以及一系列广泛的检查，在明确诊断之前，这些检查对于排除发热的许多潜在原因是必要的。特别是，医生在将疾病视为炎症性疾病之前，会先排查感染和恶性肿瘤。本章回顾了持续性或反复性发热的鉴别诊断，并讨论了大多数伴有发热的炎症综合征。