Infectious Disease, Department of Pediatric, Medical College of Wisconsin & Children's Hospital of Wisconsin, Suite C450, 999 North 92 nd Street, Wauwatosa, WI 53226, USA.
Med Clin North Am. 2024 Jan;108(1):79-92. doi: 10.1016/j.mcna.2023.05.016. Epub 2023 Jul 18.
Fever of unknown origin in adolescents is a challenging disease state for which potential underlying etiology can include infectious, non-infectious inflammatory, and malignancy processes. Careful and thorough history (including exposure history), serial examination, and targeted laboratory and imaging testing is critical for these patients. In adolescents in which an etiology is discovered, infectious etiology remains the most prevalent, followed by non-infectious inflammatory diseases. In patients with non-diagnostic overall reassuring work up, the prognosis is typically self-limiting and favorable.
青少年不明原因发热是一种具有挑战性的疾病状态,其潜在病因可能包括感染性、非感染性炎症和恶性肿瘤过程。对于这些患者,仔细和彻底的病史(包括接触史)、连续检查以及有针对性的实验室和影像学检查至关重要。在已发现病因的青少年中,感染性病因仍然最为常见,其次是非感染性炎症性疾病。对于整体检查结果无明显异常但仍未明确诊断的患者,预后通常是自限性的且良好的。