Fever in Immunocompromised Hosts - 27/10/13
Résumé |
Fever is one of the most common reasons for the emergency department presentation of immunocompromised patients. Their differential diagnosis can be broad and includes rare or unexpected pathogens. Certain infectious causes of fever portend true emergencies; if they are not managed appropriately, rapid progression and death may ensue. This article reviews the diagnosis and management of fevers in patients immunocompromised by human immunodeficiency virus/AIDS, solid-organ and hematopoietic transplants, chemotherapy-induced neutropenia, and tumor necrosis factor-α inhibitors. Prompt recognition of the type of immunosuppression and delineation of possible causes of fever are critical for management of these complex patients.
Le texte complet de cet article est disponible en PDF.Keywords : Fever, HIV, AIDS, Neutropenic fever, Solid-organ transplant, Tumor necrosis factor-α inhibitors, Hematopoietic stem cell transplant, Emergency department
Plan
Devang M. Patel and David J. Riedel contributed equally to this work. |
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Disclosure: The authors declare no conflicts of interest. |
Vol 31 - N° 4
P. 1059-1071 - novembre 2013 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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