儿童源不明发烧:一个14年,单一机构的回顾性审查
Hwee Ying Lim1,2,3,4, Guadalupe Viegelmann1,2,3,4, Elis Yuexian Lee1
1KK Women and Children's Hospital, Singapore.
Sage open pediatrics..
|July 4, 2025
概括
这项研究分析了来源不明的儿科发烧 (FUO),发现感染是最常见的原因. 咳或口腔等临床症状有助于区分儿童的病因.
科学领域:
- 儿童传染病 儿童传染病
- 临床医学 临床医学
- 类风湿病学 类风湿病学
背景情况:
- 儿童源不明发烧 (FUO) 是一个诊断挑战.
- 了解儿科FUO的病因和临床关联对于及时诊断和管理至关重要.
研究的目的:
- 调查儿科FUO的原因和临床特征.
- 确定临床发现与FUO儿童的特定病因之间的关联.
主要方法:
- 对18岁以下儿童的回顾性分析,将FUO转移到三级儿科医院.
- 从2004年12月到2019年1月的临床概况,干预措施和结果的审查.
主要成果:
- 感染是最常见的原因 (54.0%),其次是炎症 (17.3%),血液学/瘤学 (6.6%) 和未知 (22.1%) 的原因.
- 伤寒发烧,基库奇 - 藤本病和血细胞淋巴细胞瘤是各自类别中最常见的原因.
- 具体症状,如咳 (感染),口腔/关节疼痛 (炎症) 和肝缩 (血液学/瘤学) 与不同的病因有关.
结论:
- 这项研究为儿科FUO的范围提供了有价值的见解.
- 临床关联可以帮助区分儿童FUO的传染性,炎症性和血液学/瘤学原因.
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