U.S. flag

An official website of the United States government

Format

Send to:

Choose Destination

Unexplained fevers

MedGen UID:
337055
Concept ID:
C1844662
Finding
Synonym: Unexplained fever
 
HPO: HP:0001955

Definition

Episodes of fever for which no infectious cause can be identified. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVUnexplained fevers

Conditions with this feature

Diabetes insipidus, nephrogenic, X-linked
MedGen UID:
288785
Concept ID:
C1563705
Disease or Syndrome
Hereditary nephrogenic diabetes insipidus (NDI) is characterized by inability to concentrate the urine, which results in polyuria (excessive urine production) and polydipsia (excessive thirst). Affected untreated infants usually have poor feeding and failure to thrive, and rapid onset of severe dehydration with illness, hot environment, or the withholding of water. Short stature and secondary dilatation of the ureters and bladder from the high urine volume is common in untreated individuals.
Diabetes insipidus, nephrogenic, autosomal
MedGen UID:
289643
Concept ID:
C1563706
Disease or Syndrome
Hereditary nephrogenic diabetes insipidus (NDI) is characterized by inability to concentrate the urine, which results in polyuria (excessive urine production) and polydipsia (excessive thirst). Affected untreated infants usually have poor feeding and failure to thrive, and rapid onset of severe dehydration with illness, hot environment, or the withholding of water. Short stature and secondary dilatation of the ureters and bladder from the high urine volume is common in untreated individuals.
TMEM165-congenital disorder of glycosylation
MedGen UID:
766485
Concept ID:
C3553571
Disease or Syndrome
CDG2K is an autosomal recessive disorder with a variable phenotype. Affected individuals show psychomotor retardation and growth retardation, and most have short stature. Other features include dysmorphism, hypotonia, eye abnormalities, acquired microcephaly, hepatomegaly, and skeletal dysplasia. Serum transferrin analysis shows a CDG type II pattern (summary by Foulquier et al., 2012). For a general discussion of CDGs, see CDG1A (212065) and CDG2A (212066).
Combined oxidative phosphorylation deficiency 57
MedGen UID:
1824048
Concept ID:
C5774275
Disease or Syndrome
Combined oxidative phosphorylation deficiency-57 (COXPD57) is an autosomal recessive multisystem mitochondrial disease with varying degrees of severity from premature death in infancy to permanent disability in young adulthood (Lee et al., 2022). For a discussion of genetic heterogeneity of combined oxidative phosphorylation deficiency, see COXPD1 (609060).

Professional guidelines

PubMed

Pierce D, Calkins BC, Thornton K
Am Fam Physician 2012 May 15;85(10):981-6. PMID: 22612050
Anglaret X, Dakoury-Dogbo N, Bonard D, Touré S, Combe P, Ouassa T, Menan H, N'Dri-Yoman T, Dabis F, Salamon R; ANRS 059-Cotrimo-CI study group
AIDS 2002 Apr 12;16(6):909-18. doi: 10.1097/00002030-200204120-00011. PMID: 11919493

Curated

UK NICE Guideline NG143, Fever in under 5s: assessment and initial management, 2021

Recent clinical studies

Etiology

Leung MT, Sit JKK, Cheung HN, Iu YP, Chan WKY, Shek CC
J Pediatr Endocrinol Metab 2019 Aug 27;32(8):915-920. doi: 10.1515/jpem-2019-0028. PMID: 31271558
Bow EJ
J Natl Compr Canc Netw 2004 Sep;2(5):433-44. doi: 10.6004/jnccn.2004.0034. PMID: 19780252
Engels E, Marks PW, Kazanjian P
Clin Infect Dis 1995 Aug;21(2):427-8. doi: 10.1093/clinids/21.2.427. PMID: 8562755
Heney D, Lewis IJ, Evans SW, Banks R, Bailey CC, Whicher JT
J Infect Dis 1992 May;165(5):886-90. doi: 10.1093/infdis/165.5.886. PMID: 1569338
Heney D, Lewis IJ, Ghoneim AT, Chisholm P, Bailey CC
J Antimicrob Chemother 1991 Jul;28(1):117-29. doi: 10.1093/jac/28.1.117. PMID: 1769930

Diagnosis

Tonosaki K, Yonenaga K, Itai S, Mizuno T, Oyama S
Tokai J Exp Clin Med 2021 Dec 20;46(4):180-183. PMID: 34859417
Kabapy AF, Kotkat AM, Shatat HZ, Abd El Wahab EW
J Infect Dev Ctries 2016 Jan 31;10(1):30-42. doi: 10.3855/jidc.7198. PMID: 26829535
Shackelford DP, Hoffman MK, Davies MF, Kaminski PF
Obstet Gynecol 1999 Jun;93(6):928-31. doi: 10.1016/s0029-7844(98)00534-1. PMID: 10362156
Komaroff AL
Ciba Found Symp 1993;173:43-54; discussion 54-61. doi: 10.1002/9780470514382.ch4. PMID: 8491106
Heney D, Lewis IJ, Evans SW, Banks R, Bailey CC, Whicher JT
J Infect Dis 1992 May;165(5):886-90. doi: 10.1093/infdis/165.5.886. PMID: 1569338

Therapy

Bailey C, Dearden C, Ardeshna K
BMJ Case Rep 2017 Apr 26;2017 doi: 10.1136/bcr-2016-219057. PMID: 28446487Free PMC Article
Larocca CA, McEvoy JW, Ellis CL, Junkins-Hopkins J, Kolb T, Baer AN, Garibaldi BT
Clin Rheumatol 2012 Jan;31(1):169-74. Epub 2011 Jun 28 doi: 10.1007/s10067-011-1804-4. PMID: 21710158
Picchioni D, Hope CR, Harsh JR
Neuroepidemiology 2007;29(3-4):185-92. Epub 2007 Nov 27 doi: 10.1159/000111581. PMID: 18043003
Bow EJ
J Natl Compr Canc Netw 2004 Sep;2(5):433-44. doi: 10.6004/jnccn.2004.0034. PMID: 19780252
Steensma DP, Mesa RA, Li CY, Gray L, Tefferi A
Blood 2002 Mar 15;99(6):2252-4. doi: 10.1182/blood.v99.6.2252. PMID: 11877307

Prognosis

Leung MT, Sit JKK, Cheung HN, Iu YP, Chan WKY, Shek CC
J Pediatr Endocrinol Metab 2019 Aug 27;32(8):915-920. doi: 10.1515/jpem-2019-0028. PMID: 31271558
Bailey C, Dearden C, Ardeshna K
BMJ Case Rep 2017 Apr 26;2017 doi: 10.1136/bcr-2016-219057. PMID: 28446487Free PMC Article
Chan KH, Yuen SL, Joshua D
Clin Lab Haematol 2005 Dec;27(6):399-401. doi: 10.1111/j.1365-2257.2005.00729.x. PMID: 16307543
Shackelford DP, Hoffman MK, Davies MF, Kaminski PF
Obstet Gynecol 1999 Jun;93(6):928-31. doi: 10.1016/s0029-7844(98)00534-1. PMID: 10362156
Leong DC, Kinlay S, Ackland S, Bonaventura A, Stewart JF
Aust N Z J Med 1997 Aug;27(4):403-7. doi: 10.1111/j.1445-5994.1997.tb02199.x. PMID: 9448881

Clinical prediction guides

Blum NJ, Bird LM, Stein MT
J Dev Behav Pediatr 2009 Feb;30(1):72-4. doi: 10.1097/DBP.0b013e3181976a83. PMID: 19218848
Steensma DP, Mesa RA, Li CY, Gray L, Tefferi A
Blood 2002 Mar 15;99(6):2252-4. doi: 10.1182/blood.v99.6.2252. PMID: 11877307
Shackelford DP, Hoffman MK, Davies MF, Kaminski PF
Obstet Gynecol 1999 Jun;93(6):928-31. doi: 10.1016/s0029-7844(98)00534-1. PMID: 10362156
Everett ED, Evans KA, Henry RB, McDonald G
Ann Intern Med 1994 May 1;120(9):730-5. doi: 10.7326/0003-4819-120-9-199405010-00002. PMID: 8147545
Arant BS Jr
Am J Kidney Dis 1991 May;17(5):491-511. doi: 10.1016/s0272-6386(12)80490-2. PMID: 2024650

Supplemental Content

Table of contents

    Clinical resources

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Curated

    • NICE, 2021
      UK NICE Guideline NG143, Fever in under 5s: assessment and initial management, 2021

    Consumer resources

    Recent activity

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...