Fever of unknown origin in uremic patients: a controlled prospective study.
Twenty-nine uremic patients with fever of unknown origin (FUO) admitted to our clinic between 1994 and 1998 were evaluated prospectively. A group of 50 consecutive non-uremic patients with FUO followed up during the same period was used for comparison. The causes of FUO found in the uremic and non-uremic groups, respectively were as follows: infectious diseases, 69 vs. 44% (p = 0.03); collagen vascular diseases, 6.9 vs. 6%; neoplasms, 3.4 vs. 26%; miscellaneous causes, 3.4 vs. 16%; and undiagnosed, 17.2 vs. 8%. Tuberculosis was the most common cause of FUO in both groups. The spectrum of underlying conditions for FUO in our uremic patients differed from that in the non-uremic patients and the uremic patients had a very high propensity for infectious diseases, especially tuberculosis.
Altiparmak
M R
MR
Department of Internal Medicine, Cerrahpasa Medical Faculty, University of Istanbul, Turkey.
Apaydin
S
S
Ataman
R
R
Tabak
F
F
Mert
A
A
Serdengecti
K
K
Erek
E
E
D000293:Adolescent; D000328:Adult; D000368:Aged; D016022:Case-Control Studies; D003240:Connective Tissue Diseases / Q000150:complications; D005260:Female; D005335:Fever of Unknown Origin / Q000150:complications / Q000209:etiology*; D006801:Humans; D007239:Infections / Q000150:complications; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000150:complications; D011446:Prospective Studies; D014511:Uremia / Q000150:complications*