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M9650286.TXT
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1996-03-09
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Document 0286
DOCN M9650286
TI Usefulness of bone marrow examination in the evaluation of unexplained
fevers in patients infected with human immunodeficiency virus.
DT 9605
AU Engels E; Marks PW; Kazanjian P; Department of Medicine, Brigham and
Women's Hospital, Boston,; Massachusetts, USA.
SO Clin Infect Dis. 1995 Aug;21(2):427-8. Unique Identifier : AIDSLINE
MED/96002801
AB The diagnostic usefulness of 69 bone marrow examinations (BMEs)
performed for evaluating unexplained fever in 65 persons who were
infected with human immunodeficiency virus was retrospectively compared
with the usefulness of other diagnostic modalities used to investigate
the cause of fever. An etiology for the fever was identified by BME in
22 of the 69 cases (diagnostic yield, 32%). In 19 of these 22 cases, the
same diagnosis had been made by another diagnostic modality, but the
diagnosis was made by BME as rapidly or sooner in 10 of the 19 cases and
was made exclusively by BME in the three other cases. We suggest that
BME is indicated when a diagnosis is urgently sought or when an
evaluation with other diagnostic modalities has been unsuccessful.
DE Bone Marrow/MICROBIOLOGY/*PATHOLOGY Bone Marrow Examination Fever of
Unknown Origin/*ETIOLOGY Histoplasmosis/*COMPLICATIONS Human HIV
Infections/*COMPLICATIONS Lymphoma/*COMPLICATIONS Microbiological
Techniques Mycobacterium Infections/*COMPLICATIONS Retrospective
Studies JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).