[Fever of unknown origin. Pathogenesis and diagnostic procedure]. 1983

P Skinhøj

Patients with fever, either intermittent or continuous over three weeks or more, and which is still undiagnosed after one week's hospitalization, constitute a classic medical problem. According to recent literature a "common pathway" for the fever pathogenesis is described: Leukocytic pyrogen increase the formation of arachidonic acid which in their turn increase the formation of prostaglandin E, which then affects the thermoregulatory center. Some procedures for diagnostic investigation of the numerous complaints with this symptom in common are presented in a diagrammatic form. Patients who remain without a diagnosis must be kept under close observation. Attempts at treatment for diagnostic purposes should be avoided.

UI MeSH Term Description Entries
D011458 Prostaglandins E (11 alpha,13E,15S)-11,15-Dihydroxy-9-oxoprost-13-en-1-oic acid (PGE(1)); (5Z,11 alpha,13E,15S)-11,15-dihydroxy-9-oxoprosta-5,13-dien-1-oic acid (PGE(2)); and (5Z,11 alpha,13E,15S,17Z)-11,15-dihydroxy-9-oxoprosta-5,13,17-trien-1-oic acid (PGE(3)). Three of the six naturally occurring prostaglandins. They are considered primary in that no one is derived from another in living organisms. Originally isolated from sheep seminal fluid and vesicles, they are found in many organs and tissues and play a major role in mediating various physiological activities. PGE
D005335 Fever of Unknown Origin Fever in which the etiology cannot be ascertained. Unknown Origin Fever,Unknown Origin Fevers
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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