| 英文摘要 |
Fever is a common medical sign caused by many different diseases. The clinicians usually make the diagnoses before treatments. In some particular conditions, however, the febrile illness without definite etiology could be defined as fever of unknown origin (FUO). The standardized definition of FUO are: (1) Fever higher than 38.3ºC on several occasions；(2) Duration of fever for at least three weeks；(3) Uncertain diagnosis after one week of admission in the hospital.
In the elderly, FUO is sometimes the result of atypical presentation of common disease. It is hard to make prompt diagnosis and corresponding treatment. Then the course of diseases became protracted. This patient in this case was first admitted to the Gastro-intestinal ward. After the procedure for management of Klatskin tumor, fever started to show on and off through a period of time. Considering the pattern of disease, we use the Warm Theory to treat the patient. The decoction of Hua Ban Tang ( 化斑湯) was given as the treatment. With the change of patient’s condition, we altered the use of decoction from time to time under close observation. The Da Cheng Qi Tang ( 大承氣湯) was used to clean up the interior heat and excess. And we also added Bai Hu Jia Ren Shen Tang ( 白虎加人參湯) after the presentation of aversion to cold with fever. The fever has gradually subsided and the condition became more stable. After more than one month treatment course, the patient discharged from Hospice ward successfully. |
