Fever of unknown origin in pediatrics: a case report
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Moya Peñafiel, M. J., & Pulgarín Gutiérrez, C. C. (2016). Fever of unknown origin in pediatrics: a case report. Médicas UIS, 29(1), 61–69. https://doi.org/10.18273/revmed.v29n1-2016007

Abstract

ABSTRACT

Fever of unknown origin is a rare entity which is defined as fever that persists for more than three weeks of intense clinical research with diversity and complexity in its etiology, clinical approach and therapeutic approach. Countless cases are resolved without determining unfortunately a definitive diagnosis, symptoms and geared just for paraclinical findings incomplete. For this reason, this paper presents a case of a child under 13 years of age with intermittent fever of 39-40°C for one month duration who is relevant studies conducted during five weeks of hospitalization to determine the cause, assigning the diagnosis of Still’s disease by single determinations as some symptoms reported and ferritin value suggestive of pathology found. From this, the aim of this paper is to recognize the difficulty masking the diagnosis and therapeutic management of the disease, especially in children. MÉD UIS. 2016;29(1):61-9.

Keywords: Fever of Unknown Origin. Ferritins. Rheumatology. Arthritis Juvenile.

https://doi.org/10.18273/revmed.v29n1-2016007
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References

Pinel M, Martínez M. fiebre de origen desconocido. Casos clínicos en atención primaria, Ed 26-I-07, El médico. 2007.

Arroyave-Hernández CM. Fiebre prolongada en enfermedades autoinmunes en pediatría. Diagnósticos y alteraciones inmunológicas. Bol Clin Hosp Infant Edo Son. 2011;28(1):23-6.

Alpirez-Caballero LB, Medina-Herrera EE, Fisiopatología de la fiebre. Rev Cubana Milit. 1999;28(1):49-54.

Peredo S, Viviani T, Peña A. Etiología del síndrome febril prolongado en niños. Rev Chi Ped. 2007;78(5):472-6.

Diaz J. Enfermedad de Still. Rev Med Hond. 2009;12(1):271-86.

Mourad O, Palda V, Detsky A. A Comprehensive evidencebased approach to fever of unknown origin. American Medical Association. Arch intern med. 2003;163:545-51.

Chantada G, Casak S, Daza J, Pociecha J, Bologna R. Children with Fever of Unknown Origin in Argentina: an Analysis of 113 Cases. Pediatr Infect Dis J. 1994;13(4):260-3.

Cunha BA. Fever of unknown origin: Clinical overview of classic and current concepts. Infect Dis Clin North Am. 2007;21(4):867-915.

Seashore C, Lohr A. Fever of Unknown origin in children. Pediatric annals. 2011;40(1):26-30.

Jacobs RF, Schutze GE. Bartonella henselae as a cause of prolonged fever and fever of unknown origin in children. Clin Infect Dis. 1998;26(1):80-4.

Funza M. Clinical disease presentation that suggested a specific diagnosis, CID. 1998;26:80-4.

Gonzalez S, Gomez B. Infectología clínica pediátrica. 7ª edición. Mexico: McGraw-Hill Interamericana; 2003.

Burke BA. Fever of unknown origin: focused diagnostic approach based on clinical clues from the history, physical examination, and laboratory tests. Infect Dis Clin N Am. 2007;21(4):1137–87.

Durack DT, Street AC. Fever of unknown origin-reexamined and redefined. Curr Clin Top Infect Dis. 1991;11:35-51.

Chow A, Robison JL. Fever of unknown origin in children: a systematic review. World j. pediatr. 2011;7:(1)5-10.

Brusch JL, Weinstein L. Fever of Unknown Origin. Med Clin North Am 1988;72:1247-61.

Cunha BA. Fever of unknown origin. Infect Dis Clin North Am. 1996;10(1): 111-27.

Cunha BA. Fever of unknown origin: clinical overview of classic and current concepts. Infect Dis Clin N Am. 2007;21(4): 867–915.

Petersdorf RG, Beeson PB. Fever of unexplained origin: report on 100 Cases. Medicine (Baltimore). 1961;40:1-30.

Lozano de León F, León Jiménez M, Gómez-Mateos JM, Corzo Delgado JE. Fiebre de origen desconocido: actitudes diagnósticas. Medicine. 1998;7:3558-66.

Moya Mir MS. Fiebre de Origen Desconocido. Frecuencia y Metodología Diagnóstica. Inflamación-93. 1992;279-85.

Bryan CS, Ahuja D. Fever of Unexplained Origin: Is There a Role for Empiric Theraphy? Infect Dis Clin N Am.2007;21(4)1213-20.

Greca AA. Fiebre de Origen Desconocido. Como estudiarla en 2003? Asociacion de Medicina Interna de Rosario. 2003 [publicación en línea]. Disponible en: http://www.amir.org.ar/expresidentes/pdf/Greca%20FOD.pdf

De la Fuente C, Montes M. Fiebre de Origen Desconocido. En: Sociedad Española de Geriatría y Gerontología. Tratado de Geriatría para residentes. Madrid; 2007. p. 395-406.

Domellöf M, Dewey KG, Lönnerdal B, Cohen RJ, Hernell O. The diagnostic criteria for iron deficiency in infants should be reevaluated. J Nut. 2002;132(12):3680-6.

Fautrel B, Saint-Marcoux B, Taupin P, Vignes S, Rozenberg S, Koeger AC et al. Diagnostic value of ferritin and glycosylated ferritin in adult onset Still’s disease. J Rheumatol. 2001;28(2):322-9.

Chanqueo C. Enfermedad de Still del Adulto y Valor Diagnóstico de la Ferritina Sérica. Rev. Chil. Reumatol. 2001;17(4):179-83.

Navalon E, Martínez E, Muñoz P. Artritis Idiopática Juvenil, variedad artritis sistémica, a propósito de un caso. Rev. bol ped. 2006;45(3):163-5.

Vidal L, Noda A, Bouza I, Delgado M, Sánchez C, Montell O, et al. Fiebre de origen desconocido, una forma de presentarse la tuberculosis. Rev Cubana Pediatr. 2012;84(4):426-32.

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