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Ahvaz Jundishapur University of Medical Sciences

Clinical spectrum and diagnostic tools of fever of unknown origin among hospitalized patients in Razi Hospital (2006-2008), Ahvaz

Alavi, Seyed Mohammad and Nadimi, Mohammad and Sefidgaran, Gholamhossein and Papi, Mohammad Hassan and Zamani, Gholam Abbas (2009) Clinical spectrum and diagnostic tools of fever of unknown origin among hospitalized patients in Razi Hospital (2006-2008), Ahvaz. Jundishapur Journal of Microbiology, 2 (4). pp. 152-157. ISSN 2008-4161

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Abstract

Introduction and objective: Fever of unknown origin (FUO) is still an important problem in clinical practice and is a challenging problem worldwide. The objective was to define the clinical spectrum, categories of the diseases and diagnostic tools. Materials and methods: This retrospective study was undertaken from 2006 to 2008. All patients fulfilling the modified criteria for FUO, hospitalized in infectious disease ward of Razi Hospital in Ahvaz, were enrolled for analysis. Extracted data of patient's medical files including variables such as final diagnosis, diagnostic tools, and ESR values were analyzed in SPSS 11.5. Results: The etiology of FUO was infectious diseases in 48.9% of the patients, collagenvascular diseases in 17.8%, neoplasm in 8.3% and miscellaneous diseases in 8.3%. In 16.7% of the cases, the etiology could not be found. The two leading diseases were extra pulmonary tuberculosis (29.3%) and osteomyelitis (26.9%). Culturing, biopsy and CT-scan with the frequency of 31%, 16.7%, and 19.5% respectively were the frequent diagnostic tools. ESR with more than 50mm/h was associated with higher rate of serious disease. Conclusion: In conclusion, tuberculosis was still the most important cause of FUO in our study. Culturing, biopsy and CT-scan were appropriate diagnostic tools. ESR with high value is a clue to the existence of a serious disease.

Item Type: Article
Keywords: Fever of unknown origin, Infectious diseases, Tuberculosis
Subjects: R Medicine > R Medicine (General)
Depositing User: آقای بهرام سوسنی غریب وند
Date Deposited: 13 Jun 2015 05:32
Last Modified: 10 Feb 2016 06:49
URI: http://eprints.ajums.ac.ir/id/eprint/1305

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