Fever of Unknown Origin
(FUO; Pyrexia of Unknown Origin)
by Ricker Polsdorfer, MD
Fever of unknown origin (FUO) is a high body temperature with no clear cause, even though there has been at least 1-2 weeks of testing.
The cause of this fever is unknown. In some people the cause may never be known.
Factors that may make it difficult to find a cause include:
Since the cause of FUO is unclear, there are no specific factors that increase your chance of this fever.
A fever is generally considered a temperature over 101°F (38.3°C), but the exact number can vary. A fever of unknown origin may be consistent or occur sporadically.
The fever may also be accompanied by chills, sweating, or other symptoms that are caused by the underlying illness.
You will be asked about your symptoms and medical history. A physical exam will be done. If there is no clear cause, your doctor will begin to narrow possibilities. You may be asked the following:
Your bodily fluids and tissues may be tested. This can be done with:
Images may be taken of your bodily structures. This can be done with:
The inside of your lungs, intestines, or sinuses may be examined. This can be done with endoscopy.
Treatment for the fever may not be necessary since a fever is a normal part of your immune system. Lowering the fever with medication may make it harder for your body to fight the infection, if one is present. Your doctor may advise medication to lower the fever if it is extremely high or causing other health-related problems.
If an underlying condition is found, treatment will be based on that illness.
There are no current guidelines to prevent FUO since the cause is not known.
Family Doctor—American Academy of Family Physicians
Healthy Children—American Academy of Pediatrics
Caring for Kids—Canadian Paediatric Society
Roth A, Basello G. Approach to adult patient with fever of unknown origin. Am Fam Physician. 2003;68(11):2223.
Fever in the returning traveler. EBSCO DynaMed Plus website. Available at: http://www.dynamed... . Updated February 14, 2017. Accessed August 14, 2017.
Fever of unknown origin (FUO) in adults. EBSCO DynaMed Plus website. Available at: http://www.dynamed... . Updated January 13, 2017. Accessed August 14, 2017.
Last reviewed September 2018 by David L. Horn, MD, FACP
Last Updated: 9/25/2014
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