title: Tuberculosis or systemic lupus erythematosus? A diagnostic and therapeutic dilemma.
abstract: The diagnosis of patients with fever of unknown origin (FUO) is often problematic because the range of possible differential diagnoses is broad. We report on a case in which a patient presented with FUO and was subsequently found to have both a collagen vascular disease and an intercurrent infection. Treatment for the collagen vascular disease with corticosteroids exacerbated the intercurrent infection. The problems in the diagnosis and management of such cases are discussed.
authors.affiliation: Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
authors.forename: Asmah
authors.initials: A
authors.lastname: Mohd
authors.forename: Emily M L
authors.initials: EM
authors.lastname: Goh
authors.forename: Sook-Khuan
authors.initials: SK
authors.lastname: Chow
authors.forename: Lai-Meng
authors.initials: LM
authors.lastname: Looi
authors.forename: Swan-Sim
authors.initials: SS
authors.lastname: Yeap
mesh_terms: D000293:Adolescent; D003095:Collagen Diseases / Q000503:physiopathology; D003937:Diagnosis, Differential; D005335:Fever of Unknown Origin / Q000175:diagnosis; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000175:diagnosis* / Q000188:drug therapy*; D008297:Male; D014376:Tuberculosis / Q000175:diagnosis* / Q000188:drug therapy*; D014652:Vascular Diseases / Q000503:physiopathology