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Related Experiment Videos

Fever: genuine or factitious?

A S Abraham, D Bader

    Postgraduate Medicine
    |July 1, 1977
    PubMed
    Summary
    This summary is machine-generated.

    Factitious fever, though rare in fever of unknown origin cases, requires clinical suspicion. Unsuspected factitious fever can lead to extensive investigations and patient harm.

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    Area of Science:

    • Internal Medicine
    • Psychiatry

    Background:

    • Fever of unknown origin (FUO) presents a diagnostic challenge.
    • Factitious fever is a rare but important consideration in FUO.

    Observation:

    • Patients may intentionally produce or feign symptoms of fever.
    • This behavior can mimic genuine febrile illnesses.

    Findings:

    • Factitious fever can lead to extensive and unnecessary medical investigations.
    • Misdiagnosis can result in inappropriate resource utilization, including prolonged hospital stays.

    Implications:

    • Maintaining a high index of suspicion for factitious fever is crucial for accurate diagnosis.
    • Early recognition prevents iatrogenic harm and optimizes patient management.
    • Consideration of factitious disorder is essential in unexplained febrile presentations.