Viladés C, Ferré R, Martín-Urda A, Vidal F, Mayayo E, Richart C
Servei de Medicina Interna, Hospital Universitari de Tarragona Joan XXIII, Universitat Rovira i Virgili.
An Med Interna. 1994 Jul;11(7):334-7.
In this paper, we review the etiological, clinical and evolutive aspects of patients with fever of unknown origin (FUO) whose hepatic biopsy showed the presence of granulomas (GH). This is retrospective study covering a period of 10 years (1982-1991). The clinical records of all the patients hospitalized due to FUO (n = 71) and of all those in whose hepatic biopsy the presence of GH (n = 70) was documentated, were reviewed. Thirty patients fulfilled both criteria: FUO + GH. In our environment, Q Fever is the most frequent cause of FUO and GH in patients without infection by the HIV. On the contrary, in patients infected by HIV, the most frequent etiology is tuberculosis.
在本文中，我们回顾了肝活检显示存在肉芽肿（GH）的不明原因发热（FUO）患者的病因、临床及演变情况。这是一项涵盖10年（1982 - 1991年）的回顾性研究。我们查阅了所有因FUO住院患者（n = 71）以及所有肝活检记录显示存在GH患者（n = 70）的临床记录。30名患者符合两项标准：FUO + GH。在我们所处的环境中，Q热是未感染HIV患者发生FUO和GH最常见的原因。相反，在感染HIV的患者中，最常见的病因是结核病。
