Fever - Differential Diagnosis

Differential Diagnosis

Fever is a common symptom of many medical conditions:

  • Infectious disease, e.g., influenza, HIV, malaria, infectious mononucleosis, or gastroenteritis
  • Various skin inflammations, e.g., boils, or abscess
  • Immunological diseases, e.g., lupus erythematosus, sarcoidosis, inflammatory bowel diseases, Kawasaki disease
  • Tissue destruction, which can occur in hemolysis, surgery, infarction, crush syndrome, rhabdomyolysis, cerebral hemorrhage, etc.
  • Reaction to incompatible blood products
  • Cancers, most commonly kidney cancer and leukemia and lymphomas
  • Metabolic disorders, e.g., gout or porphyria
  • Thrombo-embolic processes, e.g., pulmonary embolism or deep venous thrombosis

Persistent fever that cannot be explained after repeated routine clinical inquiries is called fever of unknown origin.

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