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KMID : 1100920180390050318
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Korean Journal of Family Medicine
2018 Volume.39 No. 5 p.318 ~ p.321
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Best Practice for Prolonged Fever in Primary Care Setting: Close Follow-Up or Empiric Antibiotic Therapy?
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Sandoughi Mahnaz
Fazeli Seyed Amirhossein
Naseri-Ramroudi Fatemeh
Barzkar Farzaneh
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Abstract
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The management of prolonged fever in low-socioeconomic-status areas by primary care providers such as general practitioners is challenging. Given the endemic nature of many infectious diseases, physicians typically start empirical antibiotic therapy following a limited diagnostic workup including serologic examinations. Herein, we report the case of a young male patient with prolonged fever and arthralgia initially diagnosed with and treated for brucellosis but with a confirmed diagnosis of systemic lupus erythematosus on follow-up. This unique case shows that close follow-up is the best practice for managing prolonged fever in cases with non-specific laboratory findings.
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KEYWORD
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Systemic Lupus Erythematosus, Brucellosis, Fever
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