沾染性疾病是不明启事经久发烧的主要病因(国外英文资料).docVIP

感染性疾病是不明原因长期发热的重要病因(国外英文资料) Infectious diseases are an important cause of long-term fever 2011-01-17 Middle image classification number: R5 document identification code: A Article number: 1005-2194 (2000) 11-0643-02 Unexplained long-term fever, fever of unknown origin, FUO), defined as fever persists for more than 2 ~ 3 weeks, temperature is 38.5 ℃ or higher, after detailed history, physical examination and laboratory examination failed to clear diagnosis. The causes of FUO are complex, but can be summarized in four categories: infection, connective tissue disease, hematosis and malignancy. Infection remains the most common and important reason for FUO. Unexplained fever for a long time according to our department in recent years, according to the clinical analysis of 110 cases of infectious diseases accounted for 52.7% of FUO etiology, 47 cases of bacterial infection including typhoid and infective endocarditis, sepsis and abdominal abscess, tuberculosis (TB) accounts for 46.6% of infectious diseases, and in the majority with extrapulmonary tuberculosis (2/3) of tuberculosis (TB). Second, CMV and other previously unusual pathogens, such as borolespiel and HIV, amoeba and fungi, can also be expressed as FUO, which is notable. There have been increasing trends in tuberculosis in recent years, especially in the elderly, and clinical manifestations are varied and atypical. Tuberculosis, especially extrapulmonary tuberculosis such as deep lymph node tuberculosis, hepatic, splenic tuberculosis, urogenital system TB, blood group and clinical manifestations of spinal tuberculosis in disseminated tuberculosis complex, in the long run is part of fuo, should be valued. A detailed examination of the history and thorough examination may provide clues to catch the suspected positive clues, which is the key to a clear diagnosis. Tuberculosis usually begins disease slowly, with long-term low heat is given priority to, every afternoon or evening begins low heat, the second morning