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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1991-7-8
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pubmed:abstractText |
The incidence and significance of elevated serum levels of creatine phosphokinase (CPK) in febrile diseases were studied prospectively in all patients admitted with fever to a department of medicine during 1 year. High serum CPK levels were detected in 70 (28%) of 247 febrile patients but in only six (6%) of 105 afebrile control patients (P = .0001). Elevated CPK levels were not related to any specific diagnosis. Logistic regression analysis identified five factors that correlated both significantly and independently with elevation of CPK values: increased blood urea nitrogen level, low serum phosphate level, a stuporous or comatose state, tremor, and muscle tenderness. Myoglobinuria, detected in 14 patients, was predictive of a fatal outcome, but a high CPK level by itself was not an independent correlate of mortality. In summary, CPK elevation is not uncommon in febrile diseases, but because it does not reflect a specific etiology it does not necessarily indicate that an extensive diagnostic work-up is required.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0162-0886
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
13
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
237-42
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:2041954-Adult,
pubmed-meshheading:2041954-Aged,
pubmed-meshheading:2041954-Aged, 80 and over,
pubmed-meshheading:2041954-Creatine Kinase,
pubmed-meshheading:2041954-Female,
pubmed-meshheading:2041954-Fever,
pubmed-meshheading:2041954-Humans,
pubmed-meshheading:2041954-Influenza, Human,
pubmed-meshheading:2041954-Male,
pubmed-meshheading:2041954-Middle Aged,
pubmed-meshheading:2041954-Myoglobinuria,
pubmed-meshheading:2041954-Prognosis,
pubmed-meshheading:2041954-Prospective Studies,
pubmed-meshheading:2041954-Regression Analysis,
pubmed-meshheading:2041954-Respiratory Tract Infections,
pubmed-meshheading:2041954-Sepsis,
pubmed-meshheading:2041954-Urinary Tract Infections
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pubmed:articleTitle |
Significance of elevated levels of serum creatine phosphokinase in febrile diseases: a prospective study.
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pubmed:affiliation |
Department of Internal Medicine B, Beilinson Medical Center, Petah Tiqva, Israel.
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pubmed:publicationType |
Journal Article
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