Evidence map›Paper›PMID 40612226›Full record

ArticleSage open pediatrics

Fever of Unknown Origin in Children: A 14-Year, Single Institution Retrospective Review.

Hwee Ying Lim, Guadalupe Viegelmann, Elis Yuexian Lee, Jared Durnford, Charanya Rajan, Chia Yin Chong, Jiahui Li, Koh Cheng Thoon, Karen Donceras Nadua, Kai-Qian Kam and 7 more

Abstract read
In one paragraph

Article in Sage open pediatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Hwee Ying LimKK Women and Children's Hospital, Singapore.ORCID https://orcid.org/0009-0000-0025-1561
Guadalupe ViegelmannKK Women and Children's Hospital, Singapore.
Elis Yuexian LeeKK Women and Children's Hospital, Singapore.
Jared DurnfordKK Women and Children's Hospital, Singapore.
Charanya RajanKK Women and Children's Hospital, Singapore.
Chia Yin ChongKK Women and Children's Hospital, Singapore.
Jiahui LiKK Women and Children's Hospital, Singapore.
Koh Cheng ThoonKK Women and Children's Hospital, Singapore.
Karen Donceras NaduaKK Women and Children's Hospital, Singapore.
Kai-Qian KamKK Women and Children's Hospital, Singapore.
Chee Fu YungKK Women and Children's Hospital, Singapore.
Shui Yen SohKK Women and Children's Hospital, Singapore.
Arkachaisri TaschaweeKK Women and Children's Hospital, Singapore.
Lena DasKK Women and Children's Hospital, Singapore.
Jonathan Tze Liang ChooKK Women and Children's Hospital, Singapore.
Woei Kang LiewKK Women and Children's Hospital, Singapore.
Natalie Woon Hui TanKK Women and Children's Hospital, Singapore.ORCID https://orcid.org/0000-0002-7380-5008

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: To glean additional knowledge on children with fever of unknown origin (FUO). Methods: Children <18 years old referred to Infectious Disease Service for FUO in a tertiary paediatric hospital were analysed retrospectively from December 2004 to January 2019. Clinical profile, interventions and outcomes were reviewed. Results: There were 272 children evaluated (median age 81.5 months, 56.3% males). Causes identified were infections (54.0%), inflammatory (17.3%), haematology/oncological (6.6%), others/unknown (22.1%). The most common infection was typhoid fever. Kikuchi-Fujimoto Disease was the most common inflammatory cause, while haemophagocytic lymphohistiocytosis was the most common haematology/oncological cause. Children ≥ 5 years were more likely to have an inflammatory cause. Cough was associated with infections; mouth ulcers, joint pain and lymphadenopathy with inflammatory disorders. Hepatomegaly, splenomegaly, anaemia and raised C-reactive protein were associated with haematology/oncological conditions. Conclusions: We provide insights into knowledge of paediatric FUO and identify clinical associations with infection, inflammatory and haematological/oncological conditions.

Indexed as

childrenfever of unknown originHLHinfectionsinflammatory diseasemalignancy

Identifiers

PMID40612226
PMCPMC12220920

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.