Takayasu Arteritis in the Pre-Pulseless Phase Presenting as Pyrexia of Unknown Origin.

Autor: Unnikrishnan S; Department of Medicine, All India Institute of Medical Sciences, Bhopal, Bhopal, IND., Ingle V; Department of Medicine, All India Institute of Medical Sciences, Bhopal, Bhopal, IND., Singhai A; Department of Medicine, All India Institute of Medical Sciences, Bhopal, Bhopal, IND., Pandita K; Department of Hospital Administration, All India Institute of Medical Sciences, Bhopal, Bhopal, IND., Atlani M; Department of Nephrology, All India Institute of Medical Sciences, Bhopal, Bhopal, IND.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2023 Sep 24; Vol. 15 (9), pp. e45855. Date of Electronic Publication: 2023 Sep 24 (Print Publication: 2023).
DOI: 10.7759/cureus.45855
Abstrakt: Pyrexia of unknown origin (PUO) or fever of unknown origin (FUO) is clinically challenging for a treating physician; it is also a conundrum for the patient until a definitive diagnosis is made. Despite extensive investigations, many cases of PUO may remain undiagnosed for a long time. In a resource-limited country like India, due to the limited availability of various diagnostic tests, a great many fever cases are classified as PUO. Here, we present a case report of Takayasu arteritis in its pre-pulseless phase, presented as PUO. Takayasu arteritis presenting as PUO in the absence of a pulse deficit is uncommon and rarely reported. The patient's fever responded to steroids with methotrexate. The patient didn't develop any vascular complications during the follow-up.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2023, Unnikrishnan et al.)
Databáze: MEDLINE