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

Détails

ID Serval
serval:BIB_2B9826F79FD4
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Titre
Fever and musculoskeletal symptoms in an adult: differential diagnosis and management
Périodique
Best Practice and Research. Clinical Rheumatology
Auteur(s)
Revaz  S., Dudler  J., Kai-Lik So  A.
ISSN
1521-6942 (Print)
Statut éditorial
Publié
Date de publication
08/2006
Volume
20
Numéro
4
Pages
641-51
Notes
Journal Article
Review --- Old month value: Aug
Résumé
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.
Mots-clé
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
Création de la notice
25/01/2008 9:31
Dernière modification de la notice
03/03/2018 15:25
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