Fever of unknown origin in a geriatric patient

Authors: N. Molnárová
Authors‘ workplace: III. interní gerontometabolická klinika , FN Hradec Králové
Published in: Geriatrie a Gerontologie 2019, 8, č. 4: 168-170
Category: Case Reports


Fever of unknown origin as a major challenge for all physicians. The etiology of the fever of unknown origin can be varied, so its diagnosis requires a broad interdisciplinary approach, the ability of a detached view as well as the patience of the physician. This applies even more to geriatric patients in whom the symptomatology is atypical. Our case report describes a case of fever of unknown origin in a 77-year-old patient with unspecific symptoms, who, after a long diagnostic process, has been diagnosed with chronic Q fever.


geriatric patient – fever of unknown origin – Q fever


1. Kalvach Z, Zadák Z, Jirák R, a kol. Gerontologie a geriatrie. Praha: Avicenum 2005.

2. Petersdorf RG, Beeson PB. Fever of unexplained origin: report on 100 cases. Medicine (Baltimore) 1961;40:1–30.

3. Durack DT, Street AC. Fever of unknown origin - reexamined and redefined. Curr Clin Top Infect Dis 1991;11:35–51.

4. Cunha BA, Lortholary O, Cunha CB. Fever of unknown origin: A clinical approach. The American Journal of Medicine 2015;128: 1138e1-1138e15.

5. Mulders-Manders C, Simon A, Bleeker-Rovers Ch. Fever of unknown origin. Clinical Medicine 2015;15(3):280–284.

6. Knockaert DC, Vanneste LJ, Bobbaers HJ. Fever of unknown origin in elderly patients. Journal of the American Geriatrics Society 1993;41(11): 1187–1192.

7. Smith YK, Bradley SF, Kauffman CA. Fever of unknown origin in the elderly: Lymphoma presenting as vertebral compression fractures. JAGS 1994;42(1):88–92.

8. Gabor Ternak, et al. Fever of unknown origin in the elderly: Clinical approach. Journal of Gerontology and Geriatric Research 2014;3:4.

9. Turkulov V, Brkić S, Sević S, et al. Fever of unknown origin in Elderly patients. Srp Arh Celok Lek 2011;139(1-2):64–68.

10. Gopfertová D, Polanecký V: Manuál praktické epidemiologie – díl 2. Institut postgraduálního vzdělávání ve zdravotnictví 2015.

11. Bossi P, Tegnell A, Baka A, et al. Bichat guidelines: for the clinical management of Q fever and bioterrorism-related Q fever. Dostupné z: http://ec.europa.eu/health/ph_threats/Bioterrorisme/clin_gui_qfever.pdf

12. Hartzell JD, Wood-Morris RN, Martinez LJ. Q fever: epidemiology, diagnosis and treatment. Mayo Clin Proc 2008;83(5):574–579.

13. Hartzell JD, Peng WS,Wood-Morris RN, et al. Atypical Q fever in US Soldiers. Emerging Infectious Diseases 2007;13(8):1247–1249.

14. Diagnosis and management of Q fever – United States, 2013: Recommendations from CDC and the Q Fever Working Group. Dostupné z: https://www.cdc.gov/mmwr/preview/mmwrhtml/rr6203a1.htm

15. Foucault C, Lepidi H, Poujet-Abadie JF. Q fever and lymphadenopathy: report of four new cases and review. Eur J Clin Microbiol Infect Dis 2004;23: 759–764.

Geriatrics General practitioner for adults Orthopaedic prosthetics
Forgotten password

Don‘t have an account?  Create new account

Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.


Don‘t have an account?  Create new account