Best Practice for Prolonged Fever in Primary Care Setting: Close Follow-Up or Empiric Antibiotic Therapy?

Autor:	Sandoughi M; Department of Internal Medicine, School of Medicine, Zahedan University of Medical Sciences, Zahedan, Iran., Fazeli SA; Department of Internal Medicine, School of Medicine, Zahedan University of Medical Sciences, Zahedan, Iran.; Department of Anatomy, Faculty of Medicine, Gorgan University of Medical Sciences, Gorgan, Iran.; Department of Embryology and Histology, Gorgan University of Medical Sciences, Gorgan, Iran., Naseri-Ramroudi F; Students' Scientific Research Center, Zahedan University of Medical Sciences, Zahedan, Iran., Barzkar F; Students' Scientific Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.
Jazyk:	angličtina
Zdroj:	Korean journal of family medicine [Korean J Fam Med] 2018 Sep; Vol. 39 (5), pp. 318-321. Date of Electronic Publication: 2018 Jul 04.
DOI:	10.4082/kjfm.17.0118
Abstrakt:	The management of prolonged fever in low-socioeconomic-status areas by primary care providers such as general practitioners is challenging. Given the endemic nature of many infectious diseases, physicians typically start empirical antibiotic therapy following a limited diagnostic workup including serologic examinations. Herein, we report the case of a young male patient with prolonged fever and arthralgia initially diagnosed with and treated for brucellosis but with a confirmed diagnosis of systemic lupus erythematosus on follow-up. This unique case shows that close follow-up is the best practice for managing prolonged fever in cases with non-specific laboratory findings.
Databáze:	MEDLINE
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