Document Detail

[A patient with fever of unknown origin - a common cause with an atypical presentation].
MedLine Citation:
PMID:  23188782     Owner:  NLM     Status:  In-Data-Review    
Fever of unknown origin (FUO) is a common medical diagnosis by exclusion. In these cases, fever is the predominant symptom of an underlying disease. We describe the case of a 60-year old patient with FUO. Intensive search for the causative disease was carried out. Unfortunately all the investigations remained fruitless. Eventually, the patient was discharged with the diagnosis of common variable immunodeficiency, based on hypogammaglobulinemia and Cytomegalovirus replication. Two weeks after discharge, the patient presented in the outpatient clinic with the typical symptoms of giant cell arteriitis (GCA). The diagnosis was confirmed by a repeated ultrasound imaging and biopsy findings. The clinical condition of the patient improved rapidly after beginning of treatment with steroids. This case illustrates the importance of a longitudinal observation of patients presenting with FUO if the diagnosis remains unclear after intensive investigations.
A Jauch; F Kesten; T Daikeler; A Holbro
Publication Detail:
Type:  English Abstract; Journal Article    
Journal Detail:
Title:  Therapeutische Umschau. Revue thérapeutique     Volume:  69     ISSN:  0040-5930     ISO Abbreviation:  Ther Umsch     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-11-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0407224     Medline TA:  Ther Umsch     Country:  Switzerland    
Other Details:
Languages:  ger     Pagination:  697-701     Citation Subset:  IM    
Medizinische Poliklinik, Universitätsspital Basel.
Vernacular Title:
Der Fall eines Patienten mit Fieber unklarer Genese - eine bekannte Ursache mit atypischer Präsentation.
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