Unexplained fever in burn patients is a common clinical problem. Four cases of cytomegalovirus (CMV) infection in burn patients with unexplained fevers are described. Infection occurred at least one month after hospitalization and was characterized by prolonged fever and lymphocytosis without atypical lymphocytes. Recognition of CMV infection is important in the management of burn patients since it may prevent the administration of potentially toxic antibiotics and the pursuit of unnecessary diagnostic tests.
Deepe GS, MacMillan BG, Linnemann CC. Unexplained Fever in Burn Patients due to Cytomegalovirus Infection. JAMA. 1982;248(18):2299–2301. doi:10.1001/jama.1982.03330180059034
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