title: [An unusual cause of long-term fever: Behçet disease].
abstract: BACKGROUND
  Behçet's disease is an uncommon cause of prolonged fever. This misleading presentation is illustrated by a new case where fever occurred after polyvalent vaccination.
  
  
  METHODS
  A 39-year-old female patient was seen for prolonged fever after returning from a trip to Africa. She had received polyvalent vaccinations prior to leaving France. At admission fever had persisted for 2 months. The diagnosis of Behçet's disease was finally established on the basis of clinical signs, buccogenital aphtosis and pathergy. Colchicine was partially effective against although low-grade persisted in the evening.
  
  
  CONCLUSIONS
  Clinicians should be aware that Behçet's disease can provoke long-term fever which can sometimes be an inaugural sign. Sensitivity tests may be useful to identify the trigger, for example polyvalent vaccination.
authors.affiliation: Service de Médecine Interne, Hôpital de la Timone, Marseille. pdisdier@ap-hm.fr
authors.forename: B
authors.initials: B
authors.lastname: Granel
authors.forename: P
authors.initials: P
authors.lastname: Berbis
authors.forename: J
authors.initials: J
authors.lastname: Serratrice
authors.forename: J
authors.initials: J
authors.lastname: Pelletier
authors.forename: P
authors.initials: P
authors.lastname: Disdier
authors.forename: P J
authors.initials: PJ
authors.lastname: Weiller
mesh_terms: D000328:Adult; D001528:Behcet Syndrome / Q000276:immunology* / Q000503:physiopathology; D003078:Colchicine / Q000627:therapeutic use; D005260:Female; D005334:Fever / Q000209:etiology*; D006801:Humans; D014611:Vaccination / Q000009:adverse effects; D017778:Vaccines, Combined / Q000009:adverse effects* / Q000276:immunology
chemical_list: D017778:Vaccines, Combined; D003078:Colchicine