[Crohn s disease: is still the reason of fever of unknown origin?].
We present two patients with Crohn's disease who presented with fever unknown origin, and mild intestinal symptoms. In case 1, the debut was with intermittent fever and symmetrical polyarthritis of the wrists, elbows, ankles and knees; in the case 2, prolonged fever associated to unspecific colicky abdominal pain. The initial approach was fever unknown origin yielded no etiology in both of them. The barium studies of the intestinal tract of paramount importance to reach a positive diagnosis in both cases. We strongly recommend the use of barium studies as a first line diagnostic tool in the approach of fever unknown origin.
Estébanez Muñoz
M
M
Servicio de Medicina Interna, Hospital Universitario La Paz, Madrid, Spain. mirestmun@gmail.com
Barbado Hernández
F J
FJ
Gómez Cerezo
J
J
López Rodríguez
M
M
Pagán Muñoz
B
B
Vázquez Rodríguez
J J
JJ
D000328:Adult; D001168:Arthritis / Q000150:complications; D001466:Barium Sulfate; D003113:Colonoscopy; D003287:Contrast Media; D003424:Crohn Disease / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D005260:Female; D005335:Fever of Unknown Origin / Q000209:etiology*; D006801:Humans; D014463:Ultrasonography
D003287:Contrast Media; D001466:Barium Sulfate