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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

Pierce D, Calkins BC, Thornton K
Am Fam Physician 2012 May 15;85(10):981-6. PMID: 22612050
Picchioni D, Hope CR, Harsh JR
Neuroepidemiology 2007;29(3-4):185-92. Epub 2007 Nov 27 doi: 10.1159/000111581. PMID: 18043003
Probert C, Ehmann WC, al-Mondhiry H, Ballard J, Helm KF
Int J Dermatol 1998 Feb;37(2):108-12. doi: 10.1046/j.1365-4362.1998.00270.x. PMID: 9542664
Johnson EM, Remucal MJ, Gillingham KJ, Dahms RA, Najarian JS, Matas AJ
Transplantation 1997 Oct 27;64(8):1124-8. doi: 10.1097/00007890-199710270-00007. PMID: 9355827
Arant BS Jr
Am J Kidney Dis 1991 May;17(5):491-511. doi: 10.1016/s0272-6386(12)80490-2. PMID: 2024650

Diagnosis

Statler VA, Marshall GS
Pediatr Ann 2018 Sep 1;47(9):e347-e353. doi: 10.3928/19382359-20180806-01. PMID: 30208193
Hausmann JS, Dedeoglu F
Dermatol Clin 2013 Jul;31(3):481-94. Epub 2013 Jun 2 doi: 10.1016/j.det.2013.04.003. PMID: 23827250
Pierce D, Calkins BC, Thornton K
Am Fam Physician 2012 May 15;85(10):981-6. PMID: 22612050
Probert C, Ehmann WC, al-Mondhiry H, Ballard J, Helm KF
Int J Dermatol 1998 Feb;37(2):108-12. doi: 10.1046/j.1365-4362.1998.00270.x. PMID: 9542664
Komaroff AL
Ciba Found Symp 1993;173:43-54; discussion 54-61. doi: 10.1002/9780470514382.ch4. PMID: 8491106

Therapy

Hausmann JS, Dedeoglu F
Dermatol Clin 2013 Jul;31(3):481-94. Epub 2013 Jun 2 doi: 10.1016/j.det.2013.04.003. PMID: 23827250
Pierce D, Calkins BC, Thornton K
Am Fam Physician 2012 May 15;85(10):981-6. PMID: 22612050
Schutze GE, Mason EO Jr, Barson WJ, Kim KS, Wald ER, Givner LB, Tan TQ, Bradley JS, Yogev R, Kaplan SL
Pediatr Infect Dis J 2002 Apr;21(4):278-82. doi: 10.1097/00006454-200204000-00004. PMID: 12075756
Probert C, Ehmann WC, al-Mondhiry H, Ballard J, Helm KF
Int J Dermatol 1998 Feb;37(2):108-12. doi: 10.1046/j.1365-4362.1998.00270.x. PMID: 9542664
Johnson EM, Remucal MJ, Gillingham KJ, Dahms RA, Najarian JS, Matas AJ
Transplantation 1997 Oct 27;64(8):1124-8. doi: 10.1097/00007890-199710270-00007. PMID: 9355827

Prognosis

Bailey C, Dearden C, Ardeshna K
BMJ Case Rep 2017 Apr 26;2017 doi: 10.1136/bcr-2016-219057. PMID: 28446487Free PMC Article
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
Tsiamis C, Piperaki ET, Kalantzis G, Poulakou Rebelakou E, Tompros N, Thalassinou E, Spilipoulou C, Tsakris A
Infez Med 2015 Sep;23(3):288-95. PMID: 26397304
Schutze GE, Mason EO Jr, Barson WJ, Kim KS, Wald ER, Givner LB, Tan TQ, Bradley JS, Yogev R, Kaplan SL
Pediatr Infect Dis J 2002 Apr;21(4):278-82. doi: 10.1097/00006454-200204000-00004. PMID: 12075756
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

Clinical prediction guides

Hahn AF, Waaler PE, Kvistad PH, Bamforth JS, Miles JH, McLeod JG, Knappskog PM, Boman H
J Neurol Sci 2010 Jun 15;293(1-2):68-75. Epub 2010 Apr 18 doi: 10.1016/j.jns.2010.02.028. PMID: 20400119
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
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
Linnemann CC Jr, MacMillan BG
Am J Dis Child 1981 Aug;135(8):750-3. doi: 10.1001/archpedi.1981.02130320064021. PMID: 6267934

Supplemental Content

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    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

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