... inspection of the aspirate was performed by the ENT Available online http://ccforum.com/content/9/5/R583 Figure Flowchart depicting the organisation of our study in patients with fever ofunknownorigin ... During a period of 15 months a total of 351 patients met the initial inclusion criteria In 153 patients a probable cause of fever was found on routine analysis Therefore 198 patients met the ... by drainage and cultures in all 12 of these patients Thus, a total of 21 cases (22%) of microbiological sinusitis were subsequently found in the group of 97 patients who initially had equivocal...
... the originof any symptom is when we first meet a patient All patients initially have symptoms Introduction xv ofunknownorigin My plea is to stay in that mode until the level of certainty of ... adoption of a broader model of disease and illness Many patients were referred to me by physicians who knew of my interest in problem patients and particularly in patients who carried diagnoses of ... symptoms ofunknownorigin I have changed the names of the patients and certain other details to preserve their anonymity When I graduated from medical school in 1955, I adopted the model of disease...
... Causes of Classic FUO Table 19-1 summarizes the findings of several large studies of FUO carried out since the advent of the antibiotic era, including a prospective study of 167 adult patients ... incubation of cultures, reveals no source Adoption of these categories of FUO in the literature has allowed a more rational compilation of data regarding these disparate groups In the remainder of this ... number of undetected cases of systemic lupus erythematosus and other autoimmune diseases Table 19-1 Classic FUO in Adults A uthors Y Ne Noni ears of o of fections oplasms nfectious (Year of Study...
... parasitic genera and species The eventual clinical validation of such microarrays will further diminish rates of undiagnosed FUO of infectious etiology ... biopsy of liver as well as any other tissue indicated by "potentially diagnostic clues." cInvasive testing could involve laparoscopy dEmpirical therapy is a last resort, given the good prognosis of ... to assist in the isolation of nutritionally variant streptococci It should be noted that sequential cultures positive for multiple organisms may reflect self-injection of contaminated substances...
... relative utility of MRI and CT in the diagnosis of FUO is unknown At present, abdominal CT with contrast should be used unless MRI is specifically indicated Arteriography may be useful for patients in ... renal or hepatic vessels, and may permit diagnosis of arteritis when biopsy is difficult Ultrasonography of the abdomen is useful for investigation of the hepatobiliary tract, kidneys, spleen, and ... superior to other forms of nuclear imaging The FDG used in PET scans accumulates in tumors and at sites of inflammation and has even been shown to accumulate reliably at sites of vasculitis Where...
... sometimes causes of FUO in this group While the duration of illness may be short in these patients, the consequences of untreated infection may be catastrophic; 50–60% of febrile neutropenic patients ... >80% of HIV-infected patients, but drug fever and lymphoma remain important considerations Treatment of HIV-associated FUO depends on many factors and is discussed in Chap 182 Fever ofUnknown Origin: ... mandatory The pace of diagnostic tests is accelerated, and the threshold for procedures—CT scans, ultrasonography, 111 In WBC scans, noninvasive venous studies—is low Even so, 20% of cases of nosocomial...
... al: Prolonged fever ofunknownorigin Clin Res 26:558A, 1978 Bleeker-Rovers CP et al: Clinical value of FDG PET in patients with fever ofunknownorigin and patients suspected of focal infection ... specific: Analysis of 100 patients with acute fever or fever ofunknownorigin Clin Infect Dis 23:298, 1996 [PMID: 8842267] Kazanjian PH: Fever ofunknown origin: Review of 86 patients treated ... Long-term follow-up ofpatients with undiagnosed fever ofunknownorigin Arch Intern Med 156:618, 1996 [PMID: 8629872] Knockaert DC, Vanneste LJ: Fever ofunknownorigin in elderly patients J Am Geriatr...
... elevations of temperature or to self-induced disease A substantial number of these factitious cases were in young women in the health professions It is worth noting that 8% of the patients with ... the most frequent cause of FUO, giant-cell arteritis being the leading etiologic entity in this category In patients >50 years of age, this disease accounts for 15–20% of FUO cases Tuberculosis ... This observation does not diminish the importance of considering neoplasia in the initial diagnostic evaluation of a patient with fever A number ofpatients in these series had temporal arteritis,...
... intentional release of infectious agents, many of which cause illnesses presenting with prolonged fever, underscores the need for obtaining an insightful environmental, occupational, and professional ... and professional history, with early notification of public health authorities in cases of suspicious etiology (Chap 214) Table 19-3 Causes of FUO in Adults in the United States Infections Localized ... (
... plenty of water, tropical fruits, meat and vegetables and avoidance of seafood [4] She had been drinking more than two liters of water, eating about 150 g of beef and two to three portions each of ... fractured dental amalgam Endo-oral X-ray of the fractured dental amalgam We have previously observed a potential correlation between fever ofunknownorigin and mercury dental amalgam in people ... mercury: 2.3 microg/L, cutoff
... onset of action and is relatively free of significant adverse effects [13] In summary, in the absence of RCTs, the existing evidence of efficacy along with the favorable benefit-risk profile ... The panel of the Nonvariceal Upper GI Bleeding Consensus did not support the routine use of somatostatin or octreotide in non-variceal UGB However, because of the favorable safety profile, the ... proton pump inhibitors (PPIs) improve outcomes ofpatients at high risk of peptic ulcer rebleeding, including mortality [10,11,14,15] The resultant profound acid suppression probably stabilizes...
... management of radiation dermatitis [3-5], and treatment often follows the management of other dermatoses There are a number of reports from prospective controlled clinical studies for breast cancer patients ... the patients were also evaluated on the last day of treatment, which often did not coincide with a weekly evaluation Identification of skin care failure Skin care failure was identified by one of ... proportion ofpatients for whom the cream is better than gel is more than 50% 45 patients were planned for this study to detect a proportion of 70% (cream better than gel) with a power of 0.86 and...
... to HealthRelated Quality of Life following liver transplantation: a qualitative analysis of the perspectives ofpediatricpatients and their parents Health and Quality of Life Outcomes 2010 8:150 ... coding process by three members of the team including a qualitative methodologist Results A total of 42 pediatricpatients (64% female and 36% male; average age of 12 years) and parents (84% mothers ... 1) A majority of participants (59% of parents and children) reported no or few current problems with LT recipients’ health A high percentage of parents (70% of mothers and 72% of fathers) reported...
... observed in any of the patients However, 65% of the POEE patients fulfilled at least one MOD criterion as defined by Trotter et al [23] Postpericardiotomy syndrome with effusions and fever of non-infectious ... postponement of surgery until the normalization of clinical parameters (e.g elimination of stress or a latent infection); and, second, application of individual prophylaxis [31] in the case of endogenous ... parameter mean from non-POEE patients from Table of this study and the mean of the respective parameter from the local non-POEE group of 20 to 40 complication-free patients The local data correction...
... are often larger than girls and intra-uterine Figure Ages ofpediatricpatients presenting to AngloEuropean College of Chiropractic 2006-2010; N = 2645 Figure Conditions for which pediatricpatients ... Results This data system included 2,645 pediatricpatients (0-15 years of age) Of these, 2,303 (87%) were under the age of five and 342 (13%) were between the ages of and 15 (Figure 1) Fifty-seven percent ... use of complementary and alternative medicine in pediatrics Pediatrics 2008, 122:662-668 Vlieger AM, Blink M, Tromp E, Benning MA: Use of complementary and alternative medicine by pediatric patients...
... in all patients from the initiation of risperidone treatment, regardless of study phase This represented the beginning of the double-blind phase in patients who participated in either of the ... 1.02 0.12 ± 0.73 CGI of severity of parkinsonism (item 59) 0–8 0.08 ± 0.46 0.11 ± 0.45 CGI of severity of dystonia (item 60) 0–8 0.05 ± 0.37 0.04 ± 0.31 CGI of severity of dyskinesia (item 58) ... diagnosis of TD for adverse event reporting Furthermore, the collection of adverse events via spontaneous reporting by patients or caregivers may be limited because of a lack of awareness of dyskinetic...
... high rate of overlap with ADHD, with between 35% and 40% of ADHD patients also demonstrating signs of ODD [7-10] Furthermore, patients with ADHD have been found to be at an increased risk of developing ... http://www.capmh.com/content/4/1/31 Page of Table Summary of the 10 Most Common Primary Diagnoses Among ADHD Patientsa Patients Aged 6-11 Years Patients Aged 12-17 Years Patients With a Secondary ADHD ... 0.25% of control adolescents), conduct disturbances (5.40% of ADHD children vs 0.11% of control children; 4.85% of ADHD adolescents vs 0.46% of control adolescents), adjustment reaction (3.78% of...
... decrease the amount of exogenous insulin administered to the patients and the incidence of hypoglycemia in the acute setting of severely burned pediatricpatients Materials and methods Patients Twenty-four ... well tolerated by the severely burned pediatric population Conclusions Administration of exenatide to severely burned pediatricpatients reduced the amount of administered exogenous insulin and ... modulates glucose in these patients Key messages • The administration of exenatide resulted in a reduced amount of administered exogenous insulin in severely burn pediatricpatients • Exenatide appears...