Fever of unknown origin

Fever of unknown origin
Other namesPyrexia of unknown origin, febris e causa ignota
Duration≥3 weeks
TypesVarious
CausesInfections, malignancies, non-infectious inflammatory diseases, others
Diagnostic methodClinician-verified temperature at or above 38.3 Celsius at any measurement site on several occasions over at least 3 weeks.
Differential diagnosisFactitious fever, malingering
Frequency2–3 % of all medical admissions

Fever of unknown origin (FUO) refers to a condition in which the patient has an elevated temperature (fever) for which no cause can be found despite investigations by one or more qualified physicians. If the cause is found, it is usually a diagnosis of exclusion, eliminating all possibilities until only the correct explanation remains.

In the West, the classical medical definition of the FUO required a clinician-verified measurement of temperature of ≥38.3 at any site on several (varied) occasions over 3 weeks, though in the recent years the threshold of ≥38.0 has been becoming increasingly more prevalent.