Avaliação da febre de origem desconhecida em adultos

Última revisão: 15 Aug 2025
Última atualização: 31 Jul 2025

Resumo

Differentials

Common

  • Tuberculose (TB)
  • Abscesso abdominal ou pélvico
  • vírus da imunodeficiência humana (HIV)
  • Rinossinusite, aguda ou crônica
  • Pneumonia bacteriana
  • Infecção do trato urinário
Full details

Uncommon

  • Endocardite infecciosa
  • Abscessos dentários
  • Osteomielite
  • Prostatite, aguda ou crônica
  • Infecção por citomegalovírus
  • Infecção por vírus Epstein-Barr
  • Doença do coronavírus 2019 (COVID-19)
  • Febre reumática
  • Doença de Lyme
  • Leucemia mieloide crônica
  • Linfoma de Hodgkin
  • Linfoma não Hodgkin
  • Carcinoma metastático, primário desconhecido
  • Câncer renal
  • Síndrome mielodisplásica
  • Doença de Still de início tardio
  • Polimialgia reumática
  • Arterite de células gigantes
  • Lúpus eritematoso sistêmico
  • Doença de Crohn
  • Colite ulcerativa
  • Artrite reumatoide
  • Artrite reativa
  • Febre induzida por medicamento
  • Complicada, cirrose
  • Hepatite
  • Trombose venosa profunda
  • Sarcoidose
  • Síndromes de febre periódica
  • Malária
  • Febre tifoide
  • Febre maculosa das Montanhas Rochosas
  • Ascaríase
  • Tularemia
  • Brucelose
  • Psitacose
  • Febre Q
  • Feocromocitoma
  • Hipertireoidismo
  • Síndrome de Munchausen
  • Febre da dengue
Full details

Contributors

Authors

William F. Wright​,, DO, MPH

Assistant Professor

Division of Infectious Diseases, Department of Medicine

Johns Hopkins University School of Medicine

Baltimore

MD

Disclosures

WFW declares that he has no competing interests. WFW is an author of references cited in this topic.

Paul G. Auwaerter, MD

Professor

Division of Infectious Diseases, Department of MedicineThe Sherrilyn and Ken Fisher Center for Environmental Infectious Diseases

Johns Hopkins University School of Medicine

Baltimore

MD

Disclosures

PGA declares that he has no competing interests. PGA is an author of references cited in this topic.

Acknowledgements

Dr William F. Wright and Dr Paul G. Auwaerter would like to gratefully acknowledge Dr Roth and Dr Basello, previous contributors to this topic.

Peer reviewers

Kevin P. High, MD, MS, MACP, FIDSA

Professor of Medicine

Wake Forest University School of Medicine

Vice Chief Academic Officer, aLHS, Advocate Health

Winston-Salem

NC

Disclosures

KPH declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

References

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Key articles

Haidar G, Singh N. Fever of unknown origin. N Engl J Med. 2022 Feb 3;386(5):463-77. Abstract

Cunha BA, Lortholary O, Cunha CB. Fever of unknown origin: a clinical approach. Am J Med. 2015 Oct;128(10):1138.e1-1138.e15.Full text  Abstract

Wright WF, Auwaerter PG. Fever and fever of unknown origin: review, recent advances, and lingering dogma. Open Forum Infect Dis. 2020 May;7(5):ofaa132.Full text  Abstract

Reference articles

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.

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