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不明原因发热:巨细胞病毒和EB病毒的作用

Fever of undetermined origin: role of cytomegalovirus and Epstein-Barr virus.

作者信息

Fiala M, Chatterjee S, Ellis R, Imparato B, Bahna S, Saxon A

出版信息

West J Med. 1978 Oct;129(4):263-6.

Abstract

Roles of various infections, neoplasms and granulomatous diseases in fever of unknown origin were studied in 22 patients. Bacterial infections were responsible in seven (32 percent), herpes viruses in five (23 percent), neoplasms in four (18 percent) and granulomata in two (9 percent) cases. Patients with herpes infections had initially no clinical or routine laboratory clues to viral involvement, and were given an intensive workup for 5 to 15 days. The diagnosis was made on the basis of cytomegalovirus or Epstein-Barr virus lgM antibody titers.

摘要

对22例不明原因发热患者研究了各种感染、肿瘤和肉芽肿性疾病的作用。7例(32%)由细菌感染引起,5例(23%)由疱疹病毒引起,4例(18%)由肿瘤引起,2例(9%)由肉芽肿引起。疱疹感染患者最初没有病毒感染的临床或常规实验室线索,接受了5至15天的深入检查。诊断基于巨细胞病毒或EB病毒IgM抗体滴度。

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本文引用的文献

1
Fever of unexplained origin: report on 100 cases.不明原因发热:100例报告。
Medicine (Baltimore). 1961 Feb;40:1-30. doi: 10.1097/00005792-196102000-00001.
6
Granulomatous hepatitis and prolonged fever of unknown origin: a study of 13 patients.
Medicine (Baltimore). 1973 Jan;52(1):1-21. doi: 10.1097/00005792-197301000-00001.
7
Fever of undetermined origin.不明原因发热
N Engl J Med. 1973 Dec 27;289(26):1407-10. doi: 10.1056/NEJM197312272892607.

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