Endocarditis differential diagnosis: Difference between revisions
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==Overview== | ==Overview== | ||
Endocarditis must be differentiated from other causes of a [[fever of unknown origin]] ([[FUO]]) such as [[pulmonary embolism]], [[deep vein thrombosis]], [[lymphoma]], [[drug fever]], [[cotton fever]], and disseminated granulomatoses. | Endocarditis must be differentiated from other causes of a [[fever of unknown origin]] ([[FUO]]) such as [[pulmonary embolism]], [[deep vein thrombosis]], [[lymphoma]], [[drug fever]], [[cotton fever]], and disseminated granulomatoses.<ref name="pmid9114175">{{cite journal| author=Hirschmann JV| title=Fever of unknown origin in adults. | journal=Clin Infect Dis | year= 1997 | volume= 24 | issue= 3 | pages= 291-300; quiz 301-2 | pmid=9114175 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9114175 }} </ref> | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Endocarditis must be differentiated from other causes of a fever of unknown origin such as: | Endocarditis must be differentiated from other causes of a fever of unknown origin such as:<ref name="pmid9114175">{{cite journal| author=Hirschmann JV| title=Fever of unknown origin in adults. | journal=Clin Infect Dis | year= 1997 | volume= 24 | issue= 3 | pages= 291-300; quiz 301-2 | pmid=9114175 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9114175 }} </ref> | ||
*[[Lymphoma]] | *[[Lymphoma]] | ||
*[[Pulmonary embolism]] | *[[Pulmonary embolism]] |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Maliha Shakil, M.D. [2]
Overview
Endocarditis must be differentiated from other causes of a fever of unknown origin (FUO) such as pulmonary embolism, deep vein thrombosis, lymphoma, drug fever, cotton fever, and disseminated granulomatoses.[1]
Differential Diagnosis
Endocarditis must be differentiated from other causes of a fever of unknown origin such as:[1]
- Lymphoma
- Pulmonary embolism
- Deep vein thrombosis
- Drug fever
- Cotton fever
- Disseminated granulomatoses such as tuberculosis, histoplasmosis, coccidioidomycosis, blastomycosis, and sarcoidosis
Drug Fever
A drug fever will resolve with discontinuation of the offending agent. There may be elevated urine eosinophils and a peripheral eosinophilia as well.
Cotton Fever
The symptoms of cotton fever resemble those of sepsis and patients may be initially misdiagnosed upon admission to a hospital. However sepsis is a serious medical condition which can lead to death, whereas cotton fever, if left alone, will usually resolve itself spontaneously within 12-24 hours. Symptoms usually appear with 10-20 minutes after injection and in addition to fever may include headaches, malaise, chills, nausea and tachycardia. The fever itself usually reaches 38.5 - 40.3°C (101 - 105°F) within the first hour.[2]
References
- ↑ 1.0 1.1 Hirschmann JV (1997). "Fever of unknown origin in adults". Clin Infect Dis. 24 (3): 291–300, quiz 301-2. PMID 9114175.
- ↑ Harrison DW, Walls RM (1990). ""Cotton fever": a benign febrile syndrome in intravenous drug abusers". J Emerg Med. 8 (2): 135–9. PMID 2362114.