[An unusual cause of long-term fever: Behçet disease].
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.
Granel
B
B
Service de Médecine Interne, Hôpital de la Timone, Marseille. pdisdier@ap-hm.fr
Berbis
P
P
Serratrice
J
J
Pelletier
J
J
Disdier
P
P
Weiller
P J
PJ
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
D017778:Vaccines, Combined; D003078:Colchicine