Mirna Brkljačić, Martina Crnogaj, Ivana Kiš, Krunoslav Bojanić, Filip Kajin, Iva Šmit, Marin Torti, Ivica Harapin, Vesna Matijatko, Mirna Brkljačić, Martina Crnogaj, Ivana Kiš, Krunoslav Bojanić, Filip Kajin, Iva Šmit, Marin Torti, Ivica Harapin, and Vesna Matijatko
Although in veterinary medicine the term “Fever of unknown origin” (FUO) is still liberally used for any febrile patient where no diagnosis has been set after routine diagnostics, the term “true FUO” should be assigned to those cases in which no aetiology is found after extensive diagnostics. The aim of this study was to investigate the occurrence of FUO in dogs, to research the structure of the FUO population, as well as to explore clinical signs and their duration, and the prior treatment and incidence of different diagnoses and their outcomes. Also, this study was conducted in order to explore the amount of diagnostic procedures (with their effectiveness) required to reach a final diagnosis with the intention of helping design and prioritize diagnostics of FUO in dogs in Croatia. Final diagnosis was reached in 94% (47/50) of dogs with a total of 626 diagnostic procedures used. Immune-mediated diseases occurred most frequently (56%), followed by infectious diseases (24%), neoplastic diseases (10%) and congenital diseases (4%), with only 6% of “true FUO”. Body temperature ranged between 39.6 °C and 42.0 °C. The most common symptoms were nonspecific (anorexia and lethargy in 88%, pain in 78%, and gait disorders in 60%). The most frequent test performed was hematology while hemoculture was performed the least. Cytology and/or pathohistology were the most effective tests in achieving the final diagnosis (76.32%). The duration of clinical signs before the diagnosis/ proper treatment was 4-1825 days. The outcome was favorable in 62%, unfavorable in 32% and unknown in 6%., Premda termin vrućica nepoznatog uzroka (VNU) u veterinarskoj medicini još uvijek nema točno određenu definiciju ni kriterije klasifikacije, te se vrlo često liberalno upotrebljava u febrilnih pacijenata u kojih nije postavljena egzaktna dijagnoza nakon rutinske dijagnostičke obrade, VNU bi trebalo rezervirati za one pacijente u kojih ni nakon opsežne dijagnostike nije otkriven uzrok, tj. postavljena konačna dijagnoza. Ciljevi ovog istraživanja bili su istražiti pojavnost VNU-a kao i različitih dijagnoza u pasa s vrućicom, kliničke simptome i njihovo trajanje do postavljanja dijagnoze i početka ciljanog liječenja, te ishode liječenja, odnosno bolesti. Također, svrha ovog istraživanja bila je istražiti prosječan broj dijagnostičkih postupaka (i njihovu učinkovitost) potrebnih za postavljanje konačne dijagnoze, s ciljem kreiranja dijagnostičkog plana u pasa s VNU-om u Hrvatskoj. U 94 % pasa (47/50) postavljena je konačna dijagnoza pomoću ukupno 626 dijagnostičkih postupaka. Najčešće su bile zastupljene imunosno posredovane bolesti (56 %), zatim infekcijske (24 %), neoplastične (10 %) i kongenitalne (4 %), dok je pravi VNU bio zastupljen u samo 6 % slučajeva. Tjelesna temperatura kretala se od 39,6 do 42,0 °C. Najčešći su klinički znakovi bili nespecifični (gubitak apetita i letargija u 88 %, bolnost u 78 % te poremećaji kretanja u 60 % slučajeva). Najčešći je dijagnostički postupak bila hematološka pretraga, a najrjeđi hemokultura. Citološka i/ili patohistološka pretraga pokazale su se najučinkovitijima u postavljanju konačne dijagnoze (76,32 %). Trajanje simptoma do postavljanja dijagnoze, odnosno početka adekvatnog liječenja iznosilo je od 4 do 1825 dana. Ishod je u 62 % pasa bio povoljan, u 32 % nepovoljan, dok je u 6 % ostao nepoznat.