A disease that should be thought in the differential diagnosis of pneumonia: FMF
| Autor: | Oğuz Kilinç, Ismail Sari, S. Acarbay, Oğuzhan Turan |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Pulmonary and Respiratory Medicine
Abdominal pain medicine.medical_specialty business.industry Familial Mediterranean fever Chest pain medicine.disease MEFV Intensive care unit respiratory tract diseases law.invention Pneumonia law Internal medicine medicine Sputum medicine.symptom Differential diagnosis business Intensive care medicine |
| Zdroj: | Respiratory Medicine Extra. 3:152-154 |
| ISSN: | 1744-9049 |
| DOI: | 10.1016/j.rmedx.2007.08.001 |
| Popis: | One of the diseases that is rarely thought in the differential diagnosis of pneumonia is Familial Mediterranean Fever (FMF). The 30-year-old female patient was admitted to our hospital with fever, cough, dyspnea and chest pain. The patient was hospitalized as group 3B pneumonia according to Turkish Thoracic Society Pneumonia Guideline, as this group of patients have both risk factors and modifying factors for community-acquired pneumonia and have to be treated in hospital without the need of intensive care unit. (It can be classified as class III according to Fine Scoring System.) Fever continued despite the antibiotherapy and there was not an origin of infection with our physical and radiological examinations; also no bacteria were found in the urine, blood and sputum cultures. When we investigated the fever of the patient, we have learnt that she had attacks of fever many times similarly, and when her fever occurred, she had chest and abdominal pain periodically. We started to think about FMF as the diagnosis and after genetic examinations, a mutation has been found in MEFV gene. The patient's diagnosis has been established as FMF. FMF should be thought in the differential diagnosis of pneumonia especially in Mediterranean society, like Turkey. © 2007 Elsevier Ltd. All rights reserved. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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