Comparative response of fever to corticosteroids in tuberculosis and in connective tissue disease
作者:
FRANK FLATAUER,
STANLEY BALLOU,
EMANUEL WOLINSKY,
期刊:
The American Journal of the Medical Sciences
(OVID Available online 1981)
卷期:
Volume 281,
issue 2
页码: 111-116
ISSN:0002-9629
年代: 1981
出版商: OVID
关键词: Tuberculosis;Corticosteroids;Fever
数据来源: OVID
摘要:
A young woman with fever and pleural effusion eventually was found to have both primary tuberculosis and systemic lupus erythematosus. Before either diagnosis was confirmed, the patient had a dramatic defervescence in response to prednisone; her condition had not improved initially after anti-tuberculous therapy, Uncertainty regarding the cli n ica I significance of this remarkable temperature response led us to review our experience with febrile tuberculous patients who had received corticosteroids. Of 14 such patients, nine had rapid declines of body temperature to below 36.56. In a comparable group of 14 patients with a varietyof connective tissue diseases, 12 showed an equally dramatic defervescence after corticosteroid administration. The data suggest that a prompt temperature decline following corticosteroid therapy is a nonspecific response that cannot be used to differentiate between fever of infectious or noninfectious origin.
点击下载:
PDF
(584KB)
返 回