[Intermittent fever of infectious origin]

Vincent Le Moing1, Catherine Leport

  • 1Service des maladies infectieuses et tropicales Hôpital Gui-de-Chauliac 34295 Montpellier. v-le_moing@chu-montpellier.fr

La Revue Du Praticien
|March 28, 2002
PubMed

Insights

Intermittent fever, though rare in infectious diseases, poses diagnostic challenges. Identifying common causes like focal bacterial infections and foreign material infections aids in managing this condition.

Area of Science:

  • Infectious Diseases
  • Internal Medicine
  • Clinical Diagnostics

Context:

  • Intermittent fever is an uncommon but challenging manifestation of infectious diseases.
  • Requires careful diagnostic evaluation to identify underlying causes.
  • Often associated with focal bacterial infections or foreign materials.

Purpose:

  • To outline the diagnostic and therapeutic challenges posed by intermittent fever.
  • To review the spectrum of infectious causes of intermittent fever.
  • To emphasize the utility of initial clinical assessment and investigations.

Summary:

  • Focal bacterial infections (urinary, biliary, colon) and foreign material infections are frequent causes.
  • Less common causes include infective endocarditis, tuberculosis, Yersinia enterocolitica, and malaria.
  • Rare causes encompass borreliosis, ratbite fever, chronic meningococcemia, and Epstein-Barr Virus infection.
  • Initial patient history, clinical exam, and targeted investigations during fever are crucial.

Impact:

  • Provides a framework for diagnosing intermittent fever.
  • Guides clinicians toward appropriate investigations based on suspected etiology.
  • Aids in efficient patient management, reducing the need for extensive testing.

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