How is Fever of Unknown Origin Diagnosed?
Published: Jun 28, 2024
Diagnosing fever of unknown origin (FUO) can be complex, involving multiple tests and evaluations. Let's explore the diagnostic process.
Contents
Initial Evaluations
When a patient presents with FUO, initial evaluations include a thorough medical history, physical examination, and basic lab tests. These steps aim to identify any obvious causes and rule out common conditions. Despite these efforts, many FUO cases remain undiagnosed, necessitating further investigation.
Advanced Diagnostic Techniques
When initial tests are inconclusive, more advanced diagnostics come into play. Imaging techniques like CT scans and MRI can help identify hidden infections or tumors. Specialized tests, such as tissue biopsies, may be required to confirm conditions like tuberculosis or malignancies.

Challenges in Diagnosis
Diagnosing FUO is challenging due to the nonspecific nature of fever and the wide range of potential causes. Some cases resolve without a diagnosis, while others might require repeat testing. The lack of clear symptoms in many diseases adds to the complexity.
Frequently Asked Questions
Initial tests include medical history, physical exam, and basic lab tests.
Advanced diagnostics like imaging and biopsies are used.
The nonspecific nature of fever and diverse causes make it complex.
Yes, some cases may resolve without a diagnosis.
The Bottom Line
Diagnosing FUO requires persistence and a comprehensive approach.
References
- Cunha BA, Lortholary O, Cunha CB. Fever of unknown origin: a clinical approach. Am J Med 2015; 128:1138.e1.
- Fusco FM, Pisapia R, Nardiello S, et al. Fever of unknown origin (FUO): which are the factors influencing the final diagnosis? A 2005-2015 systematic review. BMC Infect Dis 2019; 19:653.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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