Fever without source

作者：Huppertz H I^*

来源：Monatsschrift Kinderheilkunde, 2013, 161(3): 204-210.

DOI：10.1007/s00112-012-2782-6

• Fever of unknown origin
• Bacteremia
• Meningococcus
• Pneumococcus
• Infants

In case of presumed fever, an accurate measurement of body temperature and investigation of the cause are mandatory. If history, physical exam, and urinalysis are unremarkable, the fever usually is termed fever without source or fever of unknown origin (FUO).
FUO can be related to a self-limiting viral infection or occult bacteremia, which would necessitate antibiotic treatment. Following the general introduction of conjugate vaccines, most causes of occult bacteremia have become rare and management of these children needs to be reevaluated.
Complete assessment of the patient suspected of having sepsis and subsequent antibiotic treatment are less frequently necessary, especially in children a parts per thousand yenaEuro parts per thousand 3 months. Even young infants may be closely observed as inpatients without treatment under certain conditions. These less strict recommendations may not be applied when children were prematurely born, suffer from an immunodeficiency, have been treated with antibiotics, or have pathological laboratory values. When the general state is unremarkable and the child is > 3 months of age laboratory values apart from urinalysis are generally not necessary.

• 出版日期2013-3