Update on the diagnosis, management and treatment of fever of unknown origin: review article and case report / Actualización en el diagnóstico, manejo y tratamiento de la fiebre de origen desconocido: artículo de revisión y reporte de caso
J. health med. sci. (Print)
;
8(3): 173-184, jul.2022. ilus, tab, graf
Article
in English
| LILACS
| ID: biblio-1442786
ABSTRACT
INTRODUCTION Actually, there are more than 200 different causes of unknown fever, it is necessary for the doctor to identify the most prevalent causes of unknown fever in our Clinical boar. PRESENTATION A 52-year-old male patient with no history of chronic diseases, which was received in the Emergency Service of the Hospital San Pablo, Coquimbo, on 02/03/20 began a clinical picture characterized by fever up to 39 ºC associated with diaphoresis, evaluated several times in primary health care without response to symptomatic treatment. He denies dyspnea, cough, sputum production, headache, muscle weakness, myalgia, fainting, decreased visual acuity, nausea, vomiting, chest pain, abdominal pain, diarrhea, constipation, altered bowel movements, weight loss, dysuria, bladder tenesmus, pain lumbar, skin lesions. As relevant information, the patient reports having taken amoxicillin/clavulanate for 2 days on his own account. DISCUSSION Physicians should be aware of the rare extent of an unusual presentation of knowledge origin fever, probably associated with Still disease, as well as medical options for treatment. The literature does not conclude on a gold standard for the method of approach. CONCLUSION In our case, the etiological agent that could cause Fever of unknown origin (FUO) was Sars cov-2 given the presence of elevated inflammatory factors and acute phase proteins and the presence of neutrophilic infiltration
Full text:
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Index:
LILACS (Americas)
Main subject:
Fever of Unknown Origin
/
COVID-19
Limits:
Humans
/
Male
Language:
English
Journal:
J. health med. sci. (Print)
Journal subject:
Medicina
Year:
2022
Type:
Article
Affiliation country:
Chile
/
Cuba
/
Italy
Institution/Affiliation country:
Universidad Católica del Norte Facultad de Medicina/CL
/
Universidad Finis Terrae Facultad de Medicina/CL
/
Universidad Finis Terrae/CL
/
Universidad de Florencia/IT
/
Universidad de la Habana/CU
/
Universidada de los Andes Facultad de Medicina/CL
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