title: [Intermittent fever: rare expression of an adenocarcinoma of the ampulla of Vater].
abstract: OBJECTIVE
  Prolonged intermittent fevers are frequently seen in internal medicine and they constitute a real diagnosis challenge. Infection, auto-immune disease and neoplasy are the most common causes.
  
  
  METHODS
  We report here a 48 year-old man with a prolonged intermittent fever. At first, all his assessments were negative and it's only secondary, as clinical and biological disturbances occur that the diagnosis of adenocarcinoma of the ampulla has been done.
  
  
  CONCLUSIONS
  Neoplasms represent a rare cause of intermittent prolonged fever, but we must always keep them in mind. In this case, any specific symptom was initially present to end up quickly to the solution.
authors.affiliation: Service de médecine interne, maladies infectieuses et dermatologie, centre hospitalier départemental Félix-Guyon, Allée des topazes, 97400 Saint-Denis, France. gerberannette@yahoo.fr
authors.forename: A
authors.initials: A
authors.lastname: Gerber
authors.forename: M-P
authors.initials: MP
authors.lastname: Moiton
authors.forename: F
authors.initials: F
authors.lastname: Renou
authors.forename: J-M
authors.initials: JM
authors.lastname: Bigourdan
authors.forename: J-L
authors.initials: JL
authors.lastname: Yvin
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis*; D014670:Ampulla of Vater; D003138:Common Bile Duct Neoplasms / Q000175:diagnosis*; D005334:Fever / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged