scholarly journals Splenic Tuberculosis: A Cause of Pyrexia of Unknown Origin Report of Two Cases

2013 ◽  
Vol 14 (1) ◽  
pp. 88-90
Author(s):  
Ahmedul Kabir ◽  
Aparna Das ◽  
Mahmudul Hassan Banna ◽  
Baharul Minnat ◽  
H A M Nazmul Ahasan

Tuberculosis of spleen is an extremely rare clinical entity. It often poses diagnostic difficulties as microbiological confirmation of diagnosis is not easy. We encountered two casas who presented with prolong fever but no other symptoms. Laboratory data provided no specific information for diagnosis. Abdominal ultrasonography revealed splenomegaly with multiple small hypoechoic lesions within the spleen. A diagnosis of isolated splenic tuberculosis was confirmed after a splenic puncture and histopathological examination.DOI: http://dx.doi.org/10.3329/jom.v14i1.14586 J MEDICINE 2013; 14 : 88-90

1994 ◽  
Vol 39 (4) ◽  
pp. 114-115
Author(s):  
A. Fife ◽  
L. Dorrell ◽  
M.H. Snow ◽  
E.L.C. Ong

Giant cell arteritis may present atypically with symptoms of malaise, anorexia, weight loss and fever that could lead to diagnostic difficulties. We describe two cases which the prominent initial feature was protracted pyrexia. Clinicians should seriously consider temporal artery biopsy in such cases.


1973 ◽  
Vol 1 (9) ◽  
pp. 446-448 ◽  
Author(s):  
WYE POH FUNG ◽  
SIEW CHEY ONG ◽  
YOKE SUN LEE

2020 ◽  
Vol 06 (04) ◽  
pp. e180-e184
Author(s):  
Gunjan Desai ◽  
Dattaraj Budkule ◽  
Prasad Pande ◽  
Prasad Wagle

AbstractPyrexia of unknown origin (PUO) has been a diagnostic challenge for decades. Hepatic hemangioma (HH) is not a common differential diagnosis of PUO. It is the most common benign hepatic tumor, commonly asymptomatic and incidentally detected, or can present with vague abdominal pain. PUO is a rare presenting feature. We describe a case of 38-year-old lady presenting with PUO. With no other identifiable source of fever despite exhaustive investigations, a giant hemangioma in right lobe of liver detected on abdominal ultrasonography was deemed to be the cause of PUO. The patient had sudden decrease in hemoglobin while undergoing workup, which on imaging showed a bleeding hemangioma and right hepatectomy was performed. Patient had an uneventful recovery and her PUO also resolved after surgery. HH should be considered a rare diagnosis of exclusion for PUO after a standard algorithmic approach does not reveal any other cause.


2008 ◽  
Vol 78 (4) ◽  
pp. 322-323 ◽  
Author(s):  
Satyendra K. Tiwary ◽  
Nikhil Agrawal ◽  
Sanjeev Kumar ◽  
Rahul Khanna ◽  
Ajay K. Khanna

2021 ◽  
Vol 49 (2) ◽  
pp. 030006052199223
Author(s):  
Xiaolin Zhang ◽  
Hongmei Jiao ◽  
Xinmin Liu

Esophageal diverticulum with secondary bronchoesophageal fistula is a rare clinical entity that manifests as respiratory infections, coughing during eating or drinking, hemoptysis, and sometimes fatal complications. In the present study, we describe a case of bronchoesophageal fistula emanating from esophageal diverticulum in a 45-year-old man who presented with bronchiectasis. We summarize the characteristics of this rare condition based on a review of the relevant literature.


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