[Hodgkin's disease as a cause of pyrexia in a patient with valvular heart disease and suspicion of infective endocarditis--a case report].
A case of a 75-year-old male with a history of aortic valve disease hospitalised due to pyrexia of unknown origin is reported. Initially the patient was diagnosed with infective endocarditis due to persistent pyrexia, history of valve disease, single positive blood culture and echocardiographic scan suggesting infective endocarditis. Treatment with two strong antibiotics did not bring expected amelioration. Patient's hemodynamic status remained unchanged. After several weeks of hospitalization X-ray scan revealed involved hilar lymph nodes, which was confirmed by CT scan of the chest. The patient was diagnosed with Hodgkin's disease. He died three months after initiation of chemotherapy.
Klinika Kardiologii, Akademia Medyczna, Białystok, Poland.
Anna
A
Tomaszuk-Kazberuk
J
J
Musiał
Wojciech
W
Modrzejewski
Małgorzata
M
Knapp
Anna
A
Lisowska
D000368:Aged; D001021:Aortic Valve / Q000473:pathology*; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D004697:Endocarditis, Bacterial / Q000175:diagnosis / Q000188:drug therapy; D017809:Fatal Outcome; D005335:Fever of Unknown Origin / Q000209:etiology*; D006689:Hodgkin Disease / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D008297:Male