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

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 se...

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Detalles Bibliográficos
Autores principales: Sandoughi, Mahnaz, Fazeli, Seyed Amirhossein, Naseri-Ramroudi, Fatemeh, Barzkar, Farzaneh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Academy of Family Medicine 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6166114/
https://www.ncbi.nlm.nih.gov/pubmed/29972895
http://dx.doi.org/10.4082/kjfm.17.0118
Descripción
Sumario: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.