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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Academy of Family Medicine
2018
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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 |
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author | Sandoughi, Mahnaz Fazeli, Seyed Amirhossein Naseri-Ramroudi, Fatemeh Barzkar, Farzaneh |
author_facet | Sandoughi, Mahnaz Fazeli, Seyed Amirhossein Naseri-Ramroudi, Fatemeh Barzkar, Farzaneh |
author_sort | Sandoughi, Mahnaz |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-6166114 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Korean Academy of Family Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-61661142018-10-04 Best Practice for Prolonged Fever in Primary Care Setting: Close Follow-Up or Empiric Antibiotic Therapy? Sandoughi, Mahnaz Fazeli, Seyed Amirhossein Naseri-Ramroudi, Fatemeh Barzkar, Farzaneh Korean J Fam Med Case Report 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. Korean Academy of Family Medicine 2018-09 2018-07-04 /pmc/articles/PMC6166114/ /pubmed/29972895 http://dx.doi.org/10.4082/kjfm.17.0118 Text en Copyright © 2018 The Korean Academy of Family Medicine This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Sandoughi, Mahnaz Fazeli, Seyed Amirhossein Naseri-Ramroudi, Fatemeh Barzkar, Farzaneh Best Practice for Prolonged Fever in Primary Care Setting: Close Follow-Up or Empiric Antibiotic Therapy? |
title | Best Practice for Prolonged Fever in Primary Care Setting: Close Follow-Up or Empiric Antibiotic Therapy? |
title_full | Best Practice for Prolonged Fever in Primary Care Setting: Close Follow-Up or Empiric Antibiotic Therapy? |
title_fullStr | Best Practice for Prolonged Fever in Primary Care Setting: Close Follow-Up or Empiric Antibiotic Therapy? |
title_full_unstemmed | Best Practice for Prolonged Fever in Primary Care Setting: Close Follow-Up or Empiric Antibiotic Therapy? |
title_short | Best Practice for Prolonged Fever in Primary Care Setting: Close Follow-Up or Empiric Antibiotic Therapy? |
title_sort | best practice for prolonged fever in primary care setting: close follow-up or empiric antibiotic therapy? |
topic | Case Report |
url | 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 |
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