Sin título

Fever

1. core conditions

   • haematological disorder
     • lymphoma, leukemia, myeloma
   • Systemic Infection [any cause] inc Pneumonia
   • UTI

2. infection

   • resp
     • -acute bronchitis -pneumonia -influenza -empyema -infective exacerbation of bronchiectasis/copd -tuberculosis
   • GI
     • -gastroenteritis -appendicitis -biliary sepsis -viral hepatitis -diverticulitis -intra-abdo TB -hepatic abscess
   • skin/soft tiss
     • -cellulitis -erysipelas -necrotising fasciits -pyomyositis -infected pressure sore -wound infection
   • musc skel
     • septic arthritis (native + prosthetic joints) -osteomyelitis -discitis -epidural abscess
   • GU
     • -lower urinary tract infection (UTI) eg cystitis, prostatitis -upper UTI (pyelonephritis) -perinephric collection -pelvic inflammatory disease -epidydymo-orchtis -syphilis
   • CNS
     • meningitis encephalitis cerebral abscess
   • ENT
     • upper resp tract infect eg tonsilitis otitis media quinsy dental abscess mumps/parotitis glandular fever (EBV) sinusitis
   • Immunocomp'd pts
     • pneumocystis (jiroveci/carinii) penumonia aspergillosis TB atypical mycobact infect eg Mycobacterium avium intracellulare cytomegalovirus (CMV infect) toxoplasmosis cryptococal meningitis nocardia infection disseminated herpes/fungal infection
   • Returning Travellers
     • malaria, typhoid, infective diarrhea (eg cholera, amoebiasis, shigella), amoebic liver abscess, strongyloides infect, shcistosomiasis, dengue
   • other
     • leptospirosis, brucellosis, lyme disease, Q fever, HIV, toxoplasmosis, fungal infection, measles, rubella, herpes zoster (shingles or chickenpox)

3. malignancy

   • hematological malig, incl lymphoma, leukemia, myeloma solid tumors, espec renal, liver, colon, pancreas

4. connective tissue disorder

   • -giant cell arteritis/ polymyalgia rheumatica -rheumatoid arthritis -SLE -polymyositis -polyarteritis nodosa -wegener's granulomatosis -churg- strauss disease -cryoglobulinemia -adultonset still's disease

5. drugs

   • -drug fever (almost any drug) -antipsychotics -anestthetics (malig hypertermia) -cocaine, amphetamines, ecstasy

6. other

   • transfusion-assoc'd myrotoxicosis, thyroiditis phaeochromocytoma DVT/PE pancreatitis alc hepatitis/delirium tremens rheumatic fever inflammatory bowel disaese sarcoidosis atrial myxoma familial mediterranean fever erythroderma/setevens-johnson syndrome factitious (fever or apparent fever, surreptitiously engineered by pt)