Kazanjian PH, Armstrong W, Katz J; International Conference on AIDS.
Int Conf AIDS. 1998; 12: 538 (abstract no. 31214).
University of Michigan, Ann Arbor, USA.
OBJECTIVE: To define the clinical features of FUO in HIV-infected patients at two large US medical centers. DESIGN: Retrospective, descriptive study. METHODS: The 1991 Durack and Street criteria for HIV-associated FUO (unexplained fever > 101 degrees F persisting > 4 weeks in outpatients or > 3 days in hospitalized patients) was used to identify patients at the University of Michigan Hospital (Ann Arbor, MI) and the Brigham and Women's Hospital (Boston, MA) between 1989 and 1997. RESULTS: 69 HIV-infected persons had FUO; the mean age was 36 +/- 7 yrs (range 21-51), 84% were male, and the mean CD4 count was 58 +/- 78 (range 0-457). The mean duration of fever was 44 +/- 52 days (range 4-365). An etiology was identified 81 times for an individual episode of FUO in 56 patients; 36 patients had one etiology determined (51% of patients) and 20 patients (29%) had multiple etiologies established. The etiologies of FUO identified in these patients are in Table 1. TABULAR DATA, SEE ABSTRACT VOLUME. CONCLUSIONS: Multiple etiologies are established in a significant number of HIV-infected patients who have FUO. FUO occurs most often in the late stage of HIV infection and MAC is the single most common etiology.
Publication Types:
Keywords:
- Acquired Immunodeficiency Syndrome
- Boston
- CD4 Lymphocyte Count
- Female
- Fever
- Fever of Unknown Origin
- HIV
- HIV Infections
- HIV Seropositivity
- Humans
- Male
- Michigan
- Single Person
Other ID:
UI: 102229604
From Meeting Abstracts