Abdominal Pain & Fever of Unknown Origin & Pharyngeal Hemorrhage: Causes & Reasons

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Patient File

Sex unknown, Age unknown

Reported Symptoms

Abdominal Pain, Fever of Unknown Origin, Pharyngeal Hemorrhage,

Negated

None

Unsure

None

Possible Causes

Infectious Mononucleosis

Fever of unknown origin (FUO) refers to fevers of 101 F that persist for 3 weeks and remain undiagnosed after a focused inpatient or outpatient workup. [ncbi.nlm.nih.gov]

The hemorrhagic pharyngeal tonsils with hot signals on 18F-fluorodeoxyglucose-positron emission tomography-computed tomography were biopsied revealing the presence of EBV-encoded [ncbi.nlm.nih.gov]

The evaluation of a febrile patient with acute abdominal pain represents a frequent yet possibly challenging situation in the emergency department (ED). [ncbi.nlm.nih.gov]

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Ulcerative Colitis

(n 1) Placebo (N 34): Total with adverse effects 5; vaginitis (n 1), edema (n 1), gastroenteritis (n 1), rectal hemorrhage (n 1), urinary tract infection (n 1), chest pain [doi.org]

Abdominal pain Other names Stomach ache, tummy ache, belly pain Abdominal pain can be characterized by the region it affects Specialty General surgery Causes Serious: Appendicitis [en.wikipedia.org]

Its major symptoms include diarrhea, rectal bleeding, the passage of mucus, and abdominal pain. [icd9data.com]

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Viral Hemorrhagic Fever

Applicable To Fever NOS Fever of unknown origin [FUO] Fever with chills Fever with rigors Hyperpyrexia NOS Persistent fever Pyrexia NOS hemorrhagic (arthropod-borne) A94 [icd10data.com]

Petechiae, mucous membrane and conjunctival hemorrhage, hematuria, melena, and hematemesis may be indicators of a progressing hemorrhagic diathesis. [visualdx.com]

Epidemiological Screening for BASV in the DRC BASV was not detected by PCR in 43 serum samples from other unknown cases or outbreaks of hemorrhagic fever reported in the DRC [doi.org]

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Acute Infectious Lymphocytosis

Examples of Extreme Lymphocytic Stimulation: Infectious Mononucleosis Epstein-Barr virus infection should be considered when, after a prodromal fever of unknown origin, there [mussenhealth.us]

 Clinical complications include hemorrhage due to thrombocytopenia, airway obstruction due to enlargement of pharyngeal lymphoid tissue, and splenic rupture is splenomegaly [slideshare.net]

Symptoms included diarrhea, abdominal pain, vomiting, fever and cough. There was an absolute lymphocytosis lasting about three weeks. [bloodjournal.org]

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Marburg Virus Disease

[…] of unknown origin. [en.wikipedia.org]

Incubation 5-9 days; otherwise like Argentine or Bolivian hemorrhagic fever—headaches, fever, diarrhoea, myalgias, rash, pharyngitis, thrombocytopenia, leukopenia, hemorrhage [medical-dictionary.thefreedictionary.com]

The first phase lasts about 5 days and is characterized by a high fever, headache, chills, malaise, myalgia, and possibly nausea, emesis, watery diarrhea, abdominal pain, [symptoma.com]

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Hantavirus Pulmonary Syndrome

[…] of unknown origin fibrocystic breast disease (chronic cystic mastitis; benign breast lesions) fibroid tumors of the uterus (myomas; leiomyomas) fibrositis (fibromyositis; [healthse.com]

Fever, often with shaking chills; severe polyarticular arthralgia; rash with headache, photophobia, retro-orbital pain, sore throat, pharyngitis, nausea, vomiting Arthralgia [nap.edu]

The second phase lasts 2 to 8 days and includes rapid development of fever, dry cough, body aches, headaches, diarrhea, and abdominal pain. [lung.org]

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Lassa Fever

Such infections are often asymptomatic, but in those who become ill, the disease can range from an uncomplicated fever of unknown origin to a fulminating hemorrhagic disease [link.springer.com]

[…] of a hemorrhagic diathesis. [doi.org]

Four patients had diffuse abdominal pain. [doi.org]

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Adenovirus Infection

[…] of unknown origin while on alemtuzumab treatment. [ncbi.nlm.nih.gov]

The spread of infection in mucosal membrane of urinary tract follows hemorrhagic cystitis and urinary tract infection. [epainassist.com]

Acute Gastroenteritis Gastrointestinal symptoms, including abdominal pain and diarrhea have been reported and are caused by serotypes 40 and 41. [web.stanford.edu]

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Pharyngitis

Abstract Periodic fever, aphthous stomatitis, pharyngitis, and adenitis (PFAPA) is a childhood febrile syndrome of unknown origin that is often cured with tonsillectomy. [ncbi.nlm.nih.gov]

Hemorrhagic colitis caused by group A beta-hemolytic streptococcus is extremely rare, and much rarer are its complications with pharyngitis and impetigo. [ncbi.nlm.nih.gov]

[…] tender, swollen neck lymph nodes visible white patches or pus on the back of the throat tonsils that are swollen and red a headache abdominal pain fatigue nausea vomiting [medicalnewstoday.com]

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Ebola Virus Disease

The usually lethal disease is characterized by hemorrhage and fever. [medical-dictionary.thefreedictionary.com]

Haemorrhagic symptoms may begin 4 - 5 days after onset, including hemorrhagic conjunctivitis, pharyngitis, bleeding gums, oral/lip ulceration, hematemesis, melena, hematuria [phac-aspc.gc.ca]

Symptoms of Ebola virus disease can include severe headache, myalgia, asthenia, fever, fatigue, diarrhea, vomiting, abdominal pain, and hemorrhage. [ncbi.nlm.nih.gov]

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Cat Scratch Meningoencephalitis

Bartonella henselae as a cause of prolonged fever and fever of unknown origin in children. Clin Infect Dis. 1998;26(1):80–84. 10. [aafp.org]

rash, or GI signs possible; biphasic or triphasic in some; complications (eg, neurologic signs, hemorrhages, pericarditis, myocarditis, orchitis) uncommon but can occur [merckvetmanual.com]

[…] lymph nodes; painful purulent conjunctivitis; abdominal pain; diarrhea; vomiting; chest pain; respiratory distress; pneumonia; sepsis; death ANIMAL Disease Species With Zoonotic [borrettanimalhospital.com]

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Temporal Arteritis

Fever of unknown origin (FUO) at the present time is most frequently caused by neoplasm and less commonly by infection. [ncbi.nlm.nih.gov]

Severe Alcohol Withdrawal Syndrome Sexual Abuse, Child Shoulder Instability Sinusitis Sleep Apnea Splenomegaly Streptococcal Pharyngitis Stroke Stroke, Hemorrhagic Temporal [jamaevidence.mhmedical.com]

The patient was a 48-year-old male who presented with a 2-week history of fever, diffuse abdominal pain, and malaise. [ncbi.nlm.nih.gov]

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Viral Encephalitis

The sample was obtained in 1981 from an 8-month-old child with fever of unknown origin. [healio.com]

Hemorrhagic conjunctivitis: conjunctival swab exudate taken Dacron Pericarditis or myocarditis: pericardial fluid puncture. [ivami.com]

[edit on 22-11-2009 by Copernicus] posted on Nov, 22 2009 @ 04:49 AM your forgetting one thing on that list Roundworm Infections -Fever -larvae in stool -gas -abdominal pain [abovetopsecret.com]

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Venezuelan Hemorrhagic Fever

Although officials initially speculated that the deaths were caused by an unknown hemorrhagic fever, six of the eight original fatalities tested positive for chikungunya when [sciencemag.org]

Venezuelan hemorrhagic fever a febrile disease caused by the Guanarito virus in Venezuela and characterized by headache, arthralgia, pharyngitis, leukopenia, thrombocytopenia [medical-dictionary.thefreedictionary.com]

Venezuelan hemorrhagic fever (VHF) is a severe disease characterised by fever, malaise, sore throat, followed by abdominal pain, diarrhea, a variety of hemorrhagic manifestations [utmb.influuent.utsystem.edu]

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Nonallergic Interstitial Nephritis

[…] of unknown origin (FUO)［原因］不明熱 fibrinoid degenerationフィブリノイド変性 focal nephritis巣状腎炎 food allergy食事(物)性アレルギー forced expiratory volume努力呼気量 foreign substance異物 g genetic遺伝の [tokyo-med.ac.jp]

Other signs Pharyngitis Impetigo Respiratory infection Pulmonary hemorrhage Heart murmur may indicate endocarditis Scarlet fever Weight gain Abdominal pain Anorexia Back pain [sites.google.com]

In Summary More frequent side effects include: abdominal pain, diarrhea, and nausea. See below for a comprehensive list of adverse effects. [drugs.com]

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Acute Subglottic Laryngitis

[…] and its treatment strategy Fever of unknown origin - FUO (etiology and work-up) Differential diagnosis of febrile illness in tropical and subtropical areas Differential diagnosis [wikilectures.eu]

Signs And Symptoms Hemorrhage (morphologic abnormality) Organ Affected Pharyngeal structure (body structure) Structure of anterior portion of neck (body structure) Entire [medicbind.com]

pain, peripheral non pitting oedema, laryngeal oedema 28. [slideshare.net]

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Streptococcus Viridans

KD is an acute systemic vasculitis, which mainly involves medium calibre arteries; its origin is unknown, and it is observed in children under the age of 5, especially in [scielo.isciii.es]

In 3 episodes, a gastrointestinal bleed occurred at presentation, and in 1 episode, pulmonary hemorrhage was present. [ncbi.nlm.nih.gov]

pain. [ncbi.nlm.nih.gov]

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Post Viral Asthenia

Chills with fever Fever NOS Fever of unknown origin (FUO) Hyperpyrexia NOS Pyrexia NOS Pyrexia of unknown origin Code first underlying condition when associated fever is [theodora.com]

10% or more): Upper respiratory infection (26.9%), cough (11%) Common (1% to 10%): Rhinorrhea Uncommon (0.1% to 1%): Nasal congestion, respiratory congestion, influenza, pharyngitis [drugs.com]

There are respiratory and intestinal symptoms with sore throat, cough, nausea, vomiting, and abdominal pain. [orange.mu]

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Diffuse Alveolar Hemorrhage

The authors describe a clinical case of a 32-year-old woman with lupus and fever of unknown origin. [ncbi.nlm.nih.gov]

[…] pouch Q38.8 Other congenital malformations of pharynx R04.1 Hemorrhage from throat R06.5 Mouth breathing R06.7 Sneezing R07.0 Pain in throat R09.81 Nasal congestion R09.82 [codelay.com]

IgA vasculitis (IgAV) commonly occurs in young children, who present with a tetrad of purpura, abdominal pain, arthralgia and nephritis. [ncbi.nlm.nih.gov]

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Nosocomial Pneumonia

Engelhart et al. reported data on HAI and fever of unknown origin among adult haematology and oncology patients [20]. [journals.plos.org]

1 pharyngeal carcinoma, 1 cardiac arrhythmia, 2 unknown). [ahajournals.org]

The patient may complain of chest discomfort and sometimes abdominal pain. Patients with HAP are likely to have a poor appetite, diaphoresis, and headache. [nursingcenter.com]

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Chronic Ebstein-Barr Virus Infection

It is perhaps the most common reason for fever of unknown origin in young children and can present with fever in isolation or in the context of lymphadenopathy, fatigue, or [emedicine.medscape.com]

Rarely, spontaneous or trauma-induced rupture of the spleen can lead to hemorrhage, shock, and death. [infectiousdiseaseadvisor.com]

Abdominal pain: if present in a patient with proven or suspected IM should be considered to have a splenic rupture until proven otherwise. [hopkinsguides.com]

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Pharyngoconjunctival Fever

Applicable To Fever NOS Fever of unknown origin [FUO] Fever with chills Fever with rigors Hyperpyrexia NOS Persistent fever Pyrexia NOS pharyngoconjunctival B30.2 Pharyngoconjunctivitis [icd10data.com]

[…] and cervical adenitis outbreaks in swimming pools or lakes acute hemorrhagic cystitis bloody urine self-limiting gastrointestinal nausea zvomitinging diarrhea Physical exam [medbullets.com]

A 17-year-old boy with a previous history of gastrointestinal dysfunction had abdominal pain, fever, anorexia 一例17岁男孩，有胃肠功能不良史，主诉腹痛、发热、食欲减退。 [hujiang.com]

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Echovirus Meningitis

E30 was isolated/ detected from the upper respiratory tract inflammation and infectious gastroenteritis, E18 from upper respiratory tract inflammation and fever of unknown [idsc.nih.go.jp]

Symptoms include fever, coryza, pharyngitis, and, in some infants and children, vomiting and diarrhea. [merckmanuals.com]

Chest pain is more frequent in adults, and abdominal pain is more common in children. [doctorslounge.com]

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Bolivian Hemorrhagic Fever

Applicable To Fever NOS Fever of unknown origin [FUO] Fever with chills Fever with rigors Hyperpyrexia NOS Persistent fever Pyrexia NOS hemorrhagic (arthropod-borne) A94 [icd10data.com]

Petechiae, mucous membrane and conjunctival hemorrhage, hematuria, melena, and hematemesis may be indicators of a progressing hemorrhagic diathesis. [visualdx.com]

This provides a blueprint of the New World arenavirus attachment glycoproteins and reveals a new architecture of viral attachment, using a protein fold of unknown origins. [doi.org]

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Retropharyngeal Abscess

Related Cases Disease: Retropharyngeal Abscess Abscesses Throat Disorders Symptom/Presentation: Fever and Fever of Unknown Origin Neck Stiffness Specialty: Critical Care Emergency [pediatriceducation.org]

Posterior space abscesses cause swelling that is more prominent in the posterior pharyngeal wall. Trismus is minimal. [merckmanuals.com]

Pain and Hematochezia Bridging the Gap Challenge Yourself Interactive Medical Cases Image Challenge Videos in Clinical Medicine View all learning/CME Other NEJM Group Learning [nejm.org]

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Epstein Barr Virus

Rarely, spontaneous or trauma-induced rupture of the spleen can lead to hemorrhage, shock, and death. [infectiousdiseaseadvisor.com]

Epstein Barr virus, abdominal pain, and jaundice Endgames Case Review BMJ 2017 ; 358 doi: (Published 03 August 2017) Cite this as: BMJ 2017;358:j3386 Alexandra Khoury, foundation [bmj.com]

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Mendelson's Syndrome

N39.0의 병태 O86.3 O86.4 분만후 원인 불명 열(Pyrexia of unknown origin following delivery) 산후기 발멸 NOS(Puerperal pyrexia NOS) - 제외 : 산후기열(O85)(Puerperal fever) O86.8 O87 O87.0 O87.1 [koicd.kr]

Incongruity 장폐색 Ileus 졸링거엘리슨증후군 Zollinger Elison Syndrome 직장출혈 Protorrhagia 직장통증 Rectalgia / Protalgia 출혈성직장염 Hemorrhagic proctitis 췌장염 Pancreatitis 치질 Hemorrhoids 타액분비과다 [pharm21.com]

식도염 Esophagitis 식도정맥루 Esophageal Varix 식도통과장애 Dysfunction of Esophageal Passing 식도파열 Esophageal Rupture 식도폐쇄 Atresia Esophagus 식욕부진 Anorexia 식욕증가 Bulimia 심와부통 Precordial Pain [pharm21.com]

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Erythema Chronicum Migrans

elevation of liver transaminases) Some patients have persistent or recurrent symptoms of unknown origin after apparently successful antibiotic treatment for Lyme disease [pcds.org.uk]

Stroke Stroke, Hemorrhagic Temporal Arteritis Thoracic Aortic Dissection Upper Gastrointestinal Bleed Urinary Incontinence, Women Urinary Tract Infection, Child Urinary Tract [jamaevidence.mhmedical.com]

nausea, vomiting, abdominal pain) Meningitis, focal neurological deficits Rapid clinical deterioration with shock and multi-organ dysfunction Confirmatory test Detection [amboss.com]

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Bullous Myringitis

Related Cases Disease: Bullous Myringitis Ear Disorders Ear Infections Symptom/Presentation: Ear Pain Fever and Fever of Unknown Origin Rhinitis Specialty: General Pediatrics [pediatriceducation.org]

37 with the hemorrhagic form. [encyclopedia2.thefreedictionary.com]

Twice in the past 18 months, she was treated for severe lower abdominal pains. [proprofs.com]

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Parapharyngeal Abscess

Posterior space abscesses cause swelling that is more prominent in the posterior pharyngeal wall. Trismus is minimal. [msdmanuals.com]

Documented side effects of antibiotic therapy include rashes, nausea, abdominal pain, diarrhea, bone marrow suppression, Stevens-Johnson syndrome, anaphylaxis, ototoxicity [clinicaladvisor.com]

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