Gill Carson, Scott Ori, Beck Carolyn E
Department of Pediatrics, BC Children's Hospital, Vancouver, British Columbia, Canada.
Department of Pediatrics, The Hospital for Sick Children, Toronto, Ontario, Canada.
Glob Pediatr Health. 2019 Jan 23;6:2333794X18822999. doi: 10.1177/2333794X18822999. eCollection 2019.
Fever of unknown origin is an important diagnostic challenge in pediatrics that requires a thoughtful approach. The differential diagnosis is broad and includes infectious, autoimmune, oncologic, neurologic, genetic, and iatrogenic causes. Infection remains the most common etiology, and uncommon presentations of infections are still more likely than classic presentations of rare conditions. We report a case of a retropharyngeal abscess in a toddler whose presentation is marked by a prolonged fever (>3 weeks). This case highlights the importance of close follow-up with serially repeated history and physical examinations to guide the evaluation of a patient with fever of unknown origin.
不明原因发热是儿科重要的诊断挑战，需要深思熟虑的方法。鉴别诊断范围广泛，包括感染性、自身免疫性、肿瘤性、神经性、遗传性和医源性病因。感染仍然是最常见的病因，感染的不典型表现比罕见疾病的典型表现更常见。我们报告一例幼儿咽后脓肿病例，其表现为持续发热（>3周）。该病例强调了通过连续重复询问病史和体格检查进行密切随访以指导不明原因发热患者评估的重要性。
