Smith J W
Am J Med Sci. 1986 Jul;292(1):56-64. doi: 10.1097/00000441-198607000-00012.
Eighty cases of fever of undetermined origin seen at Dallas VAMC from 1979 to 1985 were analyzed. Infectious etiology was the cause in one half, with equal numbers of localized infections or systemic infections. In contrast to older series, viral infections were frequently seen, but tuberculosis and malaria were less commonly noted. Solid tumors were the most frequently diagnosed non-infectious cause of fever. Fevers secondary to malignancy commonly responded to non-steroidal anti-inflammatory agents. Patterns of illness were helpful in defining certain diseases such as adult Still's disease and polymyalgia rheumatica. Diagnostic tests of value are discussed.
对1979年至1985年在达拉斯退伍军人医疗中心就诊的80例不明原因发热病例进行了分析。感染性病因占一半，局部感染和全身感染的数量相等。与以往的系列研究相比，病毒感染较为常见，但结核病和疟疾则较少见。实体瘤是最常被诊断出的非感染性发热原因。恶性肿瘤继发的发热通常对非甾体类抗炎药有反应。疾病模式有助于明确某些疾病，如成人斯蒂尔病和风湿性多肌痛。文中讨论了有价值的诊断测试。
