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[Fever and inflammatory parameters--useful diagnostic tools].

Th Pilgrim¹, J Rufener, H J Schaad

¹Medizinische Klinik, spitäler fmi ag, Standort Interlaken, Unterseen.

Therapeutische Umschau. Revue Therapeutique

|October 19, 2006

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Fever can stem from infections, inflammation, cancer, or immune responses. A thorough patient history, temperature monitoring, and basic labs often diagnose fever

Area of Science:

Internal Medicine
Pathophysiology
Diagnostic Medicine

Context:

Febrile reactions present a diagnostic challenge.
Distinguishing fever origins requires careful evaluation.
Biologic markers offer limited immediate diagnostic value.

Purpose:

To outline the differential diagnosis of fever.
To emphasize the diagnostic utility of clinical assessment and basic laboratory tests.
To advocate for a systematic approach to fever evaluation.

Summary:

Fever originates from diverse causes including infection, inflammation, neoplastic disease, and immune reactions.
Standard biologic markers indicate inflammatory severity but not the specific cause.
Comprehensive patient history, precise temperature monitoring, and fundamental laboratory results are crucial for diagnosis, often obviating extensive investigations.

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Impact:

Facilitates accurate and timely diagnosis of fever.
Reduces the need for unnecessary and costly diagnostic procedures.
Improves patient management by identifying the underlying cause of fever efficiently.