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儿童不明原因发热

Fever of Unknown Origin in Childhood.

作者信息

Chusid Michael J

机构信息

Infectious Diseases, Department of Pediatrics, Medical College of Wisconsin, Suite C450, 999 North 92nd Street, Wauwatosa, WI 53226, USA.

出版信息

Pediatr Clin North Am. 2017 Feb;64(1):205-230. doi: 10.1016/j.pcl.2016.08.014.

Abstract

Childhood fever of unknown origin (FUO) is most often related to an underlying infection but can also be associated with a variety of neoplastic, rheumatologic, and inflammatory conditions. Repeated, focused reviews of patient history and physical examination are often helpful in suggesting a likely diagnosis. Diagnostic workup should be staged, usually leaving invasive testing for last. Advances in molecular genetic techniques have increased the importance of these assays in the diagnosis of FUO in children.

摘要

儿童不明原因发热(FUO)最常与潜在感染相关,但也可能与多种肿瘤、风湿和炎症性疾病有关。反复、有针对性地回顾患者病史和体格检查通常有助于提示可能的诊断。诊断检查应分阶段进行,通常将侵入性检查留到最后。分子遗传技术的进展增加了这些检测在儿童FUO诊断中的重要性。

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