Fever of Unknown Origin - A Child With an Unusual Case of Juvenile Idiopathic Arthritis

Authors

  • Purnima Gyawali KIST Medical College and Teaching Hospital, Imadol, Lalitpur, Nepal https://orcid.org/0000-0003-3738-2260
  • Deepika Gyawali Chirayu National Hospital & Medical Institute, Kathmandu, Nepal
  • Sharda Acharya KIST Medical College and Teaching Hospital, Imadol, Lalitpur, Nepal

DOI:

https://doi.org/10.3126/nmj.v4i1.38161

Keywords:

Infection; Joint pain; Juvenile Inflammatory arthritis

Abstract

Fever of unknown origin in the pediatric population is fever >38.3°C (101°F) of at least seven days' duration, in which no diagnosis is apparent after initial outpatient or hospital evaluation that includes a careful history and physical examination and initial laboratory assessment. Fever of unknown origin is a diagnostic challenge, with a broad spectrum of causes classified as infectious, malignant/neoplastic, rheumatic/inflammatory, and miscellaneous disorders. A high index of suspicion should be kept for juvenile idiopathic arthritis in children presenting with unexplained fever and joint symptoms and should be appropriately managed. The case described here is of a 13-year-old female from Nepal, who presented to the Pediatric outpatient department of KIST Medical College and Teaching Hospital with a history of fever and arthralgia for three months.

Downloads

Download data is not yet available.
Abstract
50
PDF
40

Author Biography

Sharda Acharya, KIST Medical College and Teaching Hospital, Imadol, Lalitpur, Nepal

Department of Pediatrics

Downloads

Published

2020-06-30

How to Cite

Gyawali, P., Gyawali, D. ., & Acharya, S. . (2020). Fever of Unknown Origin - A Child With an Unusual Case of Juvenile Idiopathic Arthritis. Nepalese Medical Journal, 4(1), 459–461. https://doi.org/10.3126/nmj.v4i1.38161

Issue

Section

Case Reports