Malignancy or inflammation? A case report of a young man with fever of unknown origin
| Autor: | László Galuska, László Mikó, Mariann Harangi, Gabriella Szűcs, László Tóth, T. Kovacs, György Paragh, László Rejtő, Éva Rákóczi |
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| Rok vydání: | 2010 |
| Předmět: |
Adult
Male Cancer Research medicine.medical_specialty Malignancy Fever of Unknown Origin Pathology and Forensic Medicine Lesion Anti-Infective Agents Ciprofloxacin Biopsy medicine Back pain Vertebral osteomyelitis Humans Fever of unknown origin medicine.diagnostic_test business.industry Magnetic resonance imaging Osteomyelitis General Medicine medicine.disease Oncology Positron emission tomography Chronic Disease Radiology medicine.symptom business |
| Zdroj: | Pathology oncology research : POR. 17(2) |
| ISSN: | 1532-2807 |
| Popis: | A case of a young man with fever of unknown origin is presented. This diagnosis can be frustrating for both patients and physicians because the diagnostic workup often involves numerous noninvasive and invasive procedures that sometimes fail to explain the fever. In the presented case some of the imaging diagnostic findings suggested malignant hematological disorder. However, histopathological and microbiological investigation proved vertebral osteomyelitis caused by Staphylococcus haemolyticus. Diagnosis was established by positron emission tomography, magnetic resonance imaging, and culture and histopathological analysis of a spinal biopsy. 3 months of antibiotic therapy was curative. Biopsy and microbiological investigation may be necessary in patients with fever, back pain and evidence of a spinal lesion on imaging, even if neoplastic disease is suspected. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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