Protracted fever of unknown origin as the presenting symptom of Behçet's disease. Report of a case.
We report a case of Behçet's disease that presented as protracted fever of unknown origin. The diagnosis was established when a thromboembolic event and ora3l aphthous ulcers occurred simultaneously. Antibiotics had no effect on the fever, which resolved when glucocorticoid and anticoagulant therapy was given. Among causes of protracted fever of unknown origin, Behçet's disease is exceedingly rare but should be considered together with the other vasculitides. Above all, the presence of a fever should prompt a search for a thromboembolic complication.
Niamane
Radouane
R
Department of Internal Medicine, Avicenne Armed Forces Hospital, Marrakech, Morocco. rniamane@caramail.com
Karim Moudden
Mohamed
M
Zyani
Mahamed
M
Hda
Ali
A
D000925:Anticoagulants / Q000627:therapeutic use; D001528:Behcet Syndrome / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D002908:Chronic Disease; D003078:Colchicine / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D005335:Fever of Unknown Origin / Q000209:etiology*; D005832:Genital Diseases, Male / Q000209:etiology; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D007866:Leg / Q000098:blood supply; D008297:Male; D008775:Methylprednisolone; D008875:Middle Aged; D011239:Prednisolone / Q000627:therapeutic use; D013281:Stomatitis, Aphthous / Q000209:etiology; D013479:Superior Vena Cava Syndrome / Q000209:etiology; D014456:Ulcer / Q000209:etiology; D014684:Venae Cavae; D020246:Venous Thrombosis / Q000209:etiology
D000925:Anticoagulants; D005938:Glucocorticoids; D011239:Prednisolone; D003078:Colchicine; D008775:Methylprednisolone