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- Title
Çocuklarda Nedeni Bilinmeyen Ateş: Mersin Üniversitesi Deneyimi.
- Authors
BOZLU, Gülçin; TEZOL, Özlem; GÜNDEŞLİOĞLU, Özlem Özgür; KUYUCU, Necdet
- Abstract
Objective: Fever of unknown origin (FUO) in children is a difficult situation in term of both diagnosis and management. In this study, we evaluated the children who were hospitalized with FUO in in our hospital. Material and Methods: This study included children with a fever >38.3°C for which the cause could not be identified after three weeks of evaluation as an outpatient or after a week of evaluation in the hospital. We retrospectively evaluated the medical records of children with FUO who were hospitalized in University of Mersin Faculty of Medicine, Division of Pediatric Infectious Diseases between January 1, 2004 and December 31, 2014. Results: A total of 33 children (19 boys and 14 girls) with FUO were included in this study. The mean age of children was 77.39±68.11 (6-204) months. In 24 (72.7%) patients, the etiology was identified. The diagnoses were infectious diseases (n=14, 42.42%), collagen vascular disorders (n=3, 9.1%), malignancy (n=2, 6.1%), and miscellaneous conditions (n=5, 15.15%). The mean values of peripheral white blood cells in collagen vascular disorders, C-reactive protein in miscellaneous conditions and erythrocyte sedimentation rate in malignancy were significantly higher (p<0.05). Nine (27.3%) patients remained undiagnosed and all of them showed spontaneous recovery. Conclusion: A complete and detailed history, physical examination and careful reevaluation of the children with FUO should be needed. In the light of these findings, radiological evaluations in addition to simple laboratory tests were helpful to correct diagnosis. Our study demonstrated that definitive diagnosis was not established in the considerable number of children with FUO and they showed spontaneous recovery.
- Publication
Turkiye Klinikleri Journal of Pediatrics / Türkiye Klinikleri Pediatri Dergisi, 2016, Vol 25, Issue 2, p89
- ISSN
1300-0381
- Publication type
Article
- DOI
10.5336/pediatr.2015-48877