A case report of pyrexia of unknown origin in a 15-year-old boy
DOI:
https://doi.org/10.18203/2320-6012.ijrms20230599Keywords:
Pyrexia, Limitation of invigoration, Bone marrow culture, Differential diagnosisAbstract
We present a case of a 15-year-old boy presenting with a 3-week history of fever whilst visiting relatives in the United Sates (US). Despite extensive workup, a definitive diagnosis was not reached. The clinical history and course of the disease required consideration of broad range of differential diagnosis. This case highlights the importance of clinical history and examination in the assessment of fever of unknown origin (FUO).
Metrics
References
Petersdorf RG, Beeson PB. Fever of unexplained origin: report on 100 cases. Medicine (Baltimore). 1961;40:1-30.
Durack DT, Street AC. Fever of unknown origin-reexamined and redefined. Curr Clin Top Infect Dis. 1991;11:35-51.
Mulders-Manders C, Simon A, Bleeker-Rovers C. Fever of unknown origin. Clin Med (Lond). 2015;15(3):280.
Primary Health Care Cooperation (PHCC), Clinical practice guidelines for the management of fever in children less than 5 years of age. 2017.
Date KA, Newton AE, Medalla F. Changing Patterns in Enteric Fever Incidence and Increasing Antibiotic Resistance of Enteric Fever Isolates in the United States, 2008-2012. Clin Infect Dis. 2016;63:322.
Imanishi M, Newton AE, Vieira AR. Typhoid fever acquired in the United States, 1999-2010: epidemiology, microbiology, and use of a space-time scan statistic for outbreak detection. Epidemiol Infect. 2015;143:2343.
Edelman R, Levine MM. Summary of an international workshop on typhoid fever. Rev Infect Dis. 1986;8:329.
Mogasale V, Ramani E, Mogasale VV, Park J. What proportion of Salmonella Typhi cases are detected by blood culture? A systematic literature review. Ann Clin Microbiol Antimicrob. 2016;15:32.
Arnow PM, Flaherty JP. Fever of unknown origin. Lancet. 1997;23:350.
Gilman RH, Terminel M, Levine MM. Relative efficacy of blood, urine, rectal swab, bone-marrow, and rose-spot cultures for recovery of Salmonella typhi in typhoid fever. Lancet 1975;1:1211.
Gasem MH, Dolmans WM, Isbandrio BB. Culture of Salmonella typhi and Salmonella paratyphi from blood and bone marrow in suspected typhoid fever. Trop Geogr Med. 1995;47:164.
Downloads
Published
How to Cite
Issue
Section
