title: Misdiagnosis of Behçet's disease with unknown protracted fever and chill after surgical excision of cardiac tumor.
abstract: Behçet's disease involving the heart is extremely rare. Sometimes it is probable to misdiagnose as infective endocarditis when protracted fever and chill occurs. We report a case of protracted pyrexia of unknown origin after surgical excision of a cardiac tumour. Clinically and pathologically a diagnosis of infective endocarditis was probable but antibiotics had no effect. After case review the diagnosis of Behçet's disease was established and the patient was treated with glucocorticoids which resulted in resolution.
authors.affiliation: Department of Cardiac and Thoracic Surgery, The first affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, People's Republic of China.
authors.forename: Yu
authors.initials: Y
authors.lastname: Zou
authors.forename: Yiming
authors.initials: Y
authors.lastname: Ni
authors.forename: Xiaoli
authors.initials: X
authors.lastname: Liu
authors.forename: Xing
authors.initials: X
authors.lastname: Chen
mesh_terms: D000328:Adult; D001528:Behcet Syndrome / Q000175:diagnosis* / Q000188:drug therapy; D023341:Chills / Q000175:diagnosis* / Q000188:drug therapy; D003951:Diagnostic Errors; D004697:Endocarditis, Bacterial / Q000175:diagnosis; D005334:Fever / Q000175:diagnosis* / Q000188:drug therapy; D006338:Heart Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008775:Methylprednisolone / Q000627:therapeutic use; D016896:Treatment Outcome; D014261:Tricuspid Valve / Q000601:surgery; D014463:Ultrasonography
chemical_list: D008775:Methylprednisolone