Intraventricular chordoid meningioma in a child: fever of unknown origin, clinical course, and response to treatment

2012 ◽  
Vol 10 (6) ◽  
pp. 478-481 ◽  
Author(s):  
Ajit Nambiar ◽  
Ashok Pillai ◽  
Chirag Parmar ◽  
Dilip Panikar
Keyword(s):  
Fever Of Unknown Origin ◽  
Clinical Course ◽  
Unknown Origin ◽  
Response To Treatment ◽  
Tumor Type ◽  
Management Options ◽  
Rare Presentation ◽  
Chordoid Meningioma ◽  
Fractionated Radiotherapy ◽  
Rare Location

The authors present the case of an 11-year-old boy with an intraventricular chordoid meningioma, which is a rare presentation of prolonged fever of unknown origin due to a rare tumor in a rare location. The fever resolved after excision of the lesion. Subsequent imaging revealed recurrence at 1 year. After a repeat excision and fractionated radiotherapy, the patient has remained disease free 5 years after the first surgery. Very few cases of intraventricular chordoid meningioma have been reported to date. The pathological features and clinical course are described. A review of the literature describing management options for this tumor type, recently found to have a higher recurrence rate, is described herein.

Adult-onset recurrent Kawasaki disease: an unusual cause of fever of unknown origin

2021 ◽  
Vol 14 (8) ◽  
pp. e243704
Author(s):  
Timothy Peter Wynne Jones ◽  
Colin Petrie ◽  
Catriona Sykes
Keyword(s):  
Kawasaki Disease ◽  
Fever Of Unknown Origin ◽  
Unknown Origin ◽  
Clinical Findings ◽  
Adult Onset ◽  
Rare Presentation ◽  
Coronary Syndrome ◽  
Increased Risk ◽  
Long Term Follow Up

We present the case of a 20-year-old man with a background of transposition of the great arteries presenting with fever of unknown origin, who developed a shock like syndrome with respiratory failure necessitating intubation. After extensive investigation, a diagnosis of adult-onset Kawasaki disease was made, and he was successfully treated with IVIg and corticosteroids. We present the clinical findings clinicians should be aware of, and review the literature on managing this rare presentation in adult, highlighting the importance of early diagnosis in improving outcomes. Both children and adults with Kawasaki disease require long-term follow-up, as they remain at increased risk of both coronary artery aneurysms and early acute coronary syndrome.

scholarly journals Fever of unknown origin, a rare presentation of metastatic prostate cancer: Case report

2020 ◽  
Vol 30 ◽  
pp. 101126
Author(s):  
Thiago Hota ◽  
Luis Fernando Sala ◽  
André Emanuel Lunkes de Oliveira ◽  
Carlos Augusto Woidello ◽  
Alexandre Cavalheiro Cavalli ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Case Report ◽  
Metastatic Prostate Cancer ◽  
Fever Of Unknown Origin ◽  
Unknown Origin ◽  
Cancer Case ◽  
Prostate Cancer Case ◽  
Rare Presentation

scholarly journals Clinical course of coxsackievirus B (1-6) infection

2020 ◽  
Vol 17 (1) ◽  
pp. 3-7
Author(s):  
Slađana Pavić ◽  
Marija Antić ◽  
Radmila Sparić ◽  
Aleksandra Pavić
Keyword(s):  
Aseptic Meningitis ◽  
Fever Of Unknown Origin ◽  
Antinuclear Antibodies ◽  
Clinical Course ◽  
Acute Myocarditis ◽  
Clinical Manifestations ◽  
Unknown Origin ◽  
Coxsackievirus B ◽  
Virus Serotype ◽  
Febrile Condition

Objective. Coxsackievirus B (1-6) infections are the common infections of children and adults. Clinical manifestations include fever, aseptic meningitis, pleurodinia, myocarditis, gastroenterocolitis, maculous exanthem. The clinical course of the infection is influenced by the characteristics of the host, as well as the virus serotype. The pathogenesis of the diseases is explained by the immune mediated mechanism and the direct cytotoxic effect of the virus. Methods. Retrospectively analyzed virus serotype, clinical and biochemical data in patients with coxsackievirus B (1-6) infection. Patients who had an unclear febrile condition for more than six months were tested for autoantibodies. Results. We examined a total of 378 patients with coxsackievirus B (1-6) infection (302 women, 76 men), age 19 to 79 years. The dominant symptoms were weakness, elevated body temperature, fatigue and muscle aches. In 55% the clinical course was fever of unknown origin, in 13% myalgia/pleurodinia, 9% acute gastroenterocolitis and acute myocarditis/ pericarditis, 2% aseptic meningitis, 2.4% respiratory disease, 3% acute pancreatitis and 1% diabetes mellitus. Autoantibodies were detected in 69% of patients with fever of unknown origin. Antinuclear antibodies were most common, in 67%. Serotype B2 had 36% of these patients. Serotype B2 had 36% of these patients and serotype B4 had 14%. Conclusion. The most common clinical form of coxsackievirus B (1-6) infection is an fever of unknown origin caused by a B2 serotype of the virus. In most of these patients, an elevated titre of antinuclear antibodies can be detected.

scholarly journals Familial Mediterranean Fever with Neonatal Onset: Case Report

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Kübra Arslan ◽  
Serdar Ümit Sarici ◽  
Gonca Kolukisa ◽  
Demet Altun
Keyword(s):  
Familial Mediterranean Fever ◽  
Joint Pain ◽  
Fever Of Unknown Origin ◽  
Clinical Course ◽  
Unknown Origin ◽  
Recurrent Fever ◽  
Age Group ◽  
Neonatal Onset ◽  
Mediterranean Fever ◽  
Occult Bacteremia

Familial Mediterranean fever (FMF) is an autosomal recessively inherited disorder characterized by recurrent fever and attacks of abdominal pain, chest pain, and joint pain. Attacks of recurrent fever and serositis are encountered clinically. Attacks may present either with only one symptom or many simultaneous symptoms. Although most of the patients are diagnosed clinically above the age of 2, those cases who are diagnosed before 2 years of age and with clinical course of isolated fever are believed to have a more serious course and tend to develop amyloidosis. In this article, a case who was admitted first on the 22nd day of life and later diagnosed to have FMF with recurrent attacks of isolated fever and no other focus is presented. We emphasize that FMF may present as early as in the first month of life, and it should be considered in cases presenting with fever of unknown origin and misdiagnosed to have late neonatal sepsis or occult bacteremia at this age group.

scholarly journals Brucella Shunt Infection as a Rare Presentation of Neurobrucellosis

2019 ◽  
Vol 2019 ◽  
pp. 1-3
Author(s):  
Fatemeh Mehrabian ◽  
Zahra Abdi Layaee ◽  
Zahra Ahmadinejad
Keyword(s):  
Fever Of Unknown Origin ◽  
Systemic Infection ◽  
Unknown Origin ◽  
Signs And Symptoms ◽  
Shunt Infection ◽  
Laboratory Studies ◽  
Rare Presentation ◽  
Vp Shunt ◽  
Organ Systems ◽  
History Of

Brucellosis, as a systemic infection with potential to involving virtually all organ systems, is an endemic zoonosis in Iran. This is the history of a 17-year-old boy with a ventriculoperitoneal (VP) shunt who presented with prolonged fever, constipation, and abdominal pain. Laboratory studies, including cerebrospinal fluid (CSF) and blood tests, revealed a VP shunt infection with Brucella spp. We treated the patient with rifampicin, trimethoprim-sulfamethoxazole (cotrimoxazole), and ceftriaxone. Also, the shunt was temporarily replaced with an extraventricular drain until the CSF culture was sterile and a new permanent VP shunt could be inserted. We report this case to underline the diagnostic possibility of brucellosis in every case of protracted fever of unknown origin (FUO), irrespective of accompanying signs and symptoms.

scholarly journals Fever of unknown origin: a rare presentation of giant hepatic hemangioma

2018 ◽  
Vol 2018 (6) ◽  
Author(s):  
Narendra Pandit ◽  
Laligen Awale ◽  
Samir Chaudhary ◽  
Lokesh Shekher Jaiswal
Keyword(s):  
Fever Of Unknown Origin ◽  
Unknown Origin ◽  
Hepatic Hemangioma ◽  
Rare Presentation ◽  
Giant Hepatic Hemangioma
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