Document Detail


Fever and cancer: Components of diagnosis for optimal management.
MedLine Citation:
PMID:  23199412     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Fever is defined as a body temperature above 37.8°C in the absence of antipyretic drug. It is a frequent and potentially severe event and its interpretation can be difficult in patients with solid tumors. It is usually alleged that more than half of cancer patients will be affected by the occurrence of this event during the course of their disease. Underlying causes are multiple but most frequent and severe causes include infections, the most life-threatening causes being, firstly, febrile neutropenia and secondly, healthcare-associated infections and more particularly infections related to catheter. Opportunistic infections are much less frequent than in hematology oncology but clinicians should be aware of two severe opportunistic infections: systemic candidiasis and Pneumocystis jiroveci pneumonia. Fever related to paraneoplastic or tumor necrosis complicates the diagnosis process. Other common causes of fever include venous thromboembolic disease or more rarely treatment related fever. We aim at examining the optimal diagnostic and therapeutic strategies when facing a cancer patient with fever.
Authors:
Y Moussaid; M Bertaux; C Chargari; C Helissey; S Le Moulec; H Errihani; L Vedrine
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-11-27
Journal Detail:
Title:  La Revue de medecine interne / fondee ... par la Societe nationale francaise de medecine interne     Volume:  -     ISSN:  1768-3122     ISO Abbreviation:  Rev Med Interne     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-12-3     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8101383     Medline TA:  Rev Med Interne     Country:  -    
Other Details:
Languages:  FRE     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012. Published by Elsevier SAS.
Affiliation:
Service d'oncologie et radiothérapie, hôpital d'instruction des armées du Val-de-Grâce, 74, boulevard de Port-Royal, 75230 Paris cedex 05, France; Service d'oncologie médicale, institut national d'oncologie, Rabat, Maroc. Electronic address: moussaid.vdg@hotmail.fr.
Vernacular Title:
Fièvre et cancer : éléments de diagnostic pour une prise en charge adaptée.
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