Fever and musculoskeletal symptoms in an adult: differential diagnosis and management

Details

Serval ID
serval:BIB_2B9826F79FD4
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Fever and musculoskeletal symptoms in an adult: differential diagnosis and management
Journal
Best Practice and Research. Clinical Rheumatology
Author(s)
Revaz  S., Dudler  J., Kai-Lik So  A.
ISSN
1521-6942 (Print)
Publication state
Published
Issued date
08/2006
Volume
20
Number
4
Pages
641-51
Notes
Journal Article
Review --- Old month value: Aug
Abstract
Fever in the context of a patient with musculoskeletal symptoms is a sign of systemic inflammation. Initial management should be targeted at the identification of the organ systems affected and the search for a precise diagnosis. The main challenge is to differentiate between an infectious aetiology from an immune-inflammatory cause. Patient history and physical examination are key elements in the diagnostic work-up in order to direct appropriate laboratory investigations, as well as radiological and biopsy procedures. Advances in microbiological techniques and molecular genetics have provided additional tools for the clinician. Unfortunately, there is no simple algorithm to direct the diagnostic work-up, which still largely depends on the recognition of patterns of clinical presentations and the corresponding laboratory abnormalities.
Keywords
Adult Algorithms Diagnosis, Differential Fever of Unknown Origin/*diagnosis/*etiology/therapy Humans Infection/complications/diagnosis Inflammation/complications/diagnosis Medical History Taking Musculoskeletal Diseases/*complications/*diagnosis/therapy Neoplasms/complications/diagnosis Physical Examination
Pubmed
Web of science
Create date
25/01/2008 8:31
Last modification date
20/08/2019 13:10
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