Lifshitz Guinzberg A, Matus Molina V M, Flores Sobrevilla A, Vázquez Martinez F, Proal Roustand A
Prensa Med Mex. 1978 Jan-Feb;43(1-2):11-5.
Eighteen patients with fever of unknown origin in whom other diagnostic procedures had failed, underwent exploratory laparotomy with splenectomy, hepatic biopsies and biopsies of lymph nodes, muscle and bone, while bile, urine and intestinal content were cultured. In all patients, inspection and palpation of abdominal cavity doesn't give any diagnostic orientation. With histologic examination and cultures, precise diagnosis was made in 13 cases (72 per cent). Predominant diagnosis was Hodgkin's disease. One patient died with complications of surgery.
18例不明原因发热患者在其他诊断方法均告失败后，接受了剖腹探查术，包括脾切除术、肝脏活检以及淋巴结、肌肉和骨骼活检，同时对胆汁、尿液和肠道内容物进行培养。所有患者经腹腔检查和触诊均未获得任何诊断线索。通过组织学检查和培养，13例（72%）患者获得了明确诊断。主要诊断为霍奇金病。1例患者死于手术并发症。
