BUMC Basics.pdf - Anesthesia Home

60
• Resistant pathogens: MRSA, VRE, Pseudomonas
• Other infections: Cellulitis, cholangitis, cholecystitis,
diverticulitis, endocarditis, intra-abdominal abscess,
meningitis, sinusitis, thrombophlebitis
• Non-infectious causes: Transfusion reactions, drug
fever, intra-abdominal source (pancreatitis, acute
mesenteric ischemia), thyroid disease, or thromboembolic
disease (DVT/PE)
Work-up and treatment — Consider the following:
• CBC with diff, CMP
• Repeat blood cultures x2
• CMV PCR
• UA/urine culture
• Sputum gram stain/culture
• Change out central lines if >48 hours (venous lines first)
and culture tips
• pCXR
• Stool studies if indicated
• Abdominal ultrasound if indicated
• CT chest, abdomen, or pelvis if indicated
• Bilateral lower extremity Doppler if indicated
• CT sinuses if chronic NG tube
• Empiric antibiotics
Definition
FEVER OF UNKNOWN ORIGIN
• Fever >101°F (38.5°C) on one or more occasion
• Duration >3 weeks
• No diagnosis despite 1 week of intensive evaluation
Etiologies
• Infection:
Tuberculosis, endocarditis, intra-abdominal abscess,
osteomyelitis, fungal infection, meningitis, hepatitis, CMV,
EBV, Lyme disease, HIV, etc.
• Connective tissue disease:
Temporal arteritis, Polyarteritis nodosa, RA, SLE, etc.