低收入和中等收入国家不明原因发热的处理方法。

IF 0.5 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Tropical Doctor Pub Date : 2025-04-13 DOI:10.1177/00494755251333964

Ashok Kumar Pannu

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引用次数: 0

摘要

不明原因发热（PUO）在低收入和中等收入国家（LMICs）仍然是一个重大的诊断挑战，尽管非传染性炎症疾病和恶性肿瘤的负担不断增加，但感染仍占主导地位。肺外结核、淋巴瘤和斯蒂尔氏病是主要病因。本文回顾了中低收入国家PUO流行病学的发展，并提出了一种结构化的逐步诊断方法，该方法将当地流行病学、潜在的诊断线索、有针对性的调查和全身成像结合起来，以提高诊断准确性，同时最大限度地减少不必要的检查。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Approach to pyrexia of unknown origin in low- and middle-income countries.

Pyrexia of unknown origin (PUO) remains a significant diagnostic challenge in low- and middle-income countries (LMICs), where infections predominate despite an increasing burden of non-infectious inflammatory diseases and malignancy. Extrapulmonary tuberculosis, lymphoma, and Still's disease are among the leading causes. This article reviews the evolving epidemiology of PUO in LMICs and proposes a structured, stepwise diagnostic approach that integrates local epidemiology, potential diagnostic clues, targeted investigations, and whole-body imaging to improve diagnostic accuracy while minimising unnecessary testing.

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来源期刊

Tropical Doctor 医学-公共卫生、环境卫生与职业卫生

CiteScore

1.20

自引率

0.00%

发文量

144

审稿时长

3 months

期刊介绍： The only journal written by and for health workers in low and middle-income countries, Tropical Doctor provides medical expertise and practical advice on how to apply current medical knowledge to the special circumstances of LMIC countries. This journal provides an ideal forum for sharing experiences and establishing best practice, aiding communication between medical professionals in different environments.