Muñoz-Gómez Sigridh, Cunha Burke A
Infectious Disease Division, Winthrop-University Hospital, Mineola, NY, USA; State University of New York, School of Medicine, Stony Brook, NY, USA.
Infectious Disease Division, Winthrop-University Hospital, Mineola, NY, USA; State University of New York, School of Medicine, Stony Brook, NY, USA.
Heart Lung. 2015 Jan-Feb;44(1):72-4. doi: 10.1016/j.hrtlng.2014.09.003. Epub 2014 Oct 17.
Fevers of unknown origin (FUOs) may be due to any of over 200 different disorders. We present a most unusual case of an FUO in a returning traveler from the Dominican Republic. Work-up for Q fever, Brucellosis, Bartonella, malaria and HIV were negative, but very highly elevated ESRs and ferritin levels suggested possible Legionnaire's disease. This is the third reported case of Legionnaire's disease presenting as an FUO.
不明原因发热（FUO）可能由200多种不同疾病中的任何一种引起。我们报告一例极为罕见的不明原因发热病例，患者是一名从多米尼加共和国归来的旅行者。对其进行的Q热、布鲁氏菌病、巴尔通体病、疟疾和艾滋病毒检测均为阴性，但血沉（ESR）和铁蛋白水平极高，提示可能患有军团病。这是第三例报告的以不明原因发热形式出现的军团病病例。
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