Lung Lesions During Fever of Unknown Origin

Krupa, Renata; Zielonka, Tadeusz M.; Hadzik-Błaszczyk, Małgorzata; Wardyn, Kazimierz; Życińska, Katarzyna

doi:10.1007/5584_2017_37

Cited by 4 publications

(4 citation statements)

References 38 publications

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“…Clinical algorithms in the literature have emphasized "clue-based" approaches to narrow down the differential to minimize testing, as a fever of unknown origin can potentially include over 200 differential diagnoses; some of the more common of these differentials include lymphoma, tuberculosis, adult Still's disease, and drug fever [ 3 ]. However, the literature has reported various exotic cases of fever of unknown origin eventually confirmed as sarcoidosis [ 4 , 5 ].…”

Section: Discussionmentioning

confidence: 99%

Delayed Diagnosis in a Rare Case of Pulmonary Sarcoidosis Presenting as Unilateral Hilar Lymphadenopathy and Fever of Unknown Origin

Thomas

Mabrouk

et al. 2021

Cureus

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In this report, we present a rare case of sarcoidosis presenting as fever of unknown origin with unilateral hilar lymphadenopathy, in contrast with the typical presentation of sarcoidosis. Sarcoidosis presenting with asymmetric or isolated unilateral lymphadenopathy is highly unusual. Sarcoidosis is also an uncommon cause of fever of unknown origin. This atypical presentation led to diagnostic delays in our case. This case report emphasizes the importance of considering sarcoidosis early in the differential diagnosis of fever of unknown origin with unilateral hilar lymphadenopathy.

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Section: Discussionmentioning

confidence: 99%

Delayed Diagnosis in a Rare Case of Pulmonary Sarcoidosis Presenting as Unilateral Hilar Lymphadenopathy and Fever of Unknown Origin

Thomas

Mabrouk

et al. 2021

Cureus

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“…According to the etiology of FUO, foreign scholars have divided them into five groups: infection, tumor, CTD, other complex causes and uncertain etiology . Previous studies show that the pulmonary lesion occurrence in FUO patients is about 30% . In this study, we analyzed the causes of FUO with pulmonary lesions, and compared our results with some large comprehensive retrospective analysis of FUO disease spectrum in recent decades.…”

Section: Discussionmentioning

confidence: 99%

“…A detailed and comprehensive investigation protocol conducted according to local epidemiological information may differentiate the infectious disease cases from the non‐infectious disease cases (Figure ). Briefly, five types of causes of FUO origins were classified, including infectious diseases, connective tissue diseases, malignant diseases, the others and undiagnosed diseases, according to the criteria which had been presented previously . The etiology of FUO with pulmonary lesions was analyzed.…”

Section: Methodsmentioning

confidence: 99%

Etiological distribution and clinical features of fever of unknown origin with pulmonary lesions in South China

Jiang

Zhuo

Huang

et al. 2019

Clinical Respiratory J

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Introduction Fever of unknown origin (FUO) with pulmonary lesions is a common syndrome in respiratory diseases, which can be caused by infection, cancer, connective tissue disease and other rare diseases of South China. In patients with FUO associated with pulmonary lesions, pathogeny should be identified and followed by an appropriate treatment strategy. Objective This study aimed to investigate the etiological distribution and clinical features of FUO with pulmonary lesions and to analyze the efficiency of different diagnostic methods for certain disease categories. Methods Patients hospitalized at the Guangzhou Institute of Respiratory Health from July 2012 to December 2016 who had fever ≥38.3°C that lasted ≥21 days, in whom the chest X‐ray or computed tomography (CT) revealed definite pulmonary infiltration, and for whom, despite being examined for a week, no definitive diagnosis could be made, were considered for this study. Results A total of 104 patients were identified as having FUO with lung lesions, and 89.4% (93/104) patients were definitively diagnosed. Infectious disease was the most common cause (46.2%, 48/104). Histopathology was instrumental in the diagnosis of the causes of FUO with pulmonary manifestations, 47.3% (44/93) patients were diagnosed through histopathology, 35.4% (17/48) with infectious disease and 55.2% (16/29) with connective tissue diseases as the etiology were definitely diagnosed using histopathology. Conclusion Most FUO with pulmonary lesions are identified during infections and autoimmune diseases. The most important diagnostic measure for FUO with pulmonary lesions is histopathology. Additionally, lung biopsy must be encouraged in multi‐level hospitals in the future.

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“…This is known as fever of unknown origin. 7,8 This paper reported about lung abscess that preceded by fever of unknown origin.…”

Section: Introductionmentioning

confidence: 99%

Lung abscess preceded by fever of unknown origin: a case report

Buntara,

Hidayat,

Buulolo

et al. 2023

Int J Adv Med

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Lung abscess is a condition that characterized by formation of pus or tissue necrosis in lung parenchyma. The prevalence of lung abscess in Indonesia is still unknown, but the incidence seems to be decreased. Lung abscess could be categorized in many forms based on the duration, etiology and the way of spreading. Early sign and symptoms usually cannot be differentiated from pneumonia. Lung abscess also could be preceded by fever of unknown origin, so it could be challenging to diagnose. This case report presented a-57-years old man that preceded by fever of unknown origin. Chest X-ray show unspecified lung infiltrate, thus treated as a pneumonia. Further X-ray showed the clear image of cavities with abscess. Lung CT-scan was performed and bronchiectasis also lung abscess were found. Comprehensive history taking, physical examinations and diagnostic tests were done in this patient until the diagnosis is established.

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Lung Lesions During Fever of Unknown Origin

Cited by 4 publications

References 38 publications

Delayed Diagnosis in a Rare Case of Pulmonary Sarcoidosis Presenting as Unilateral Hilar Lymphadenopathy and Fever of Unknown Origin

Delayed Diagnosis in a Rare Case of Pulmonary Sarcoidosis Presenting as Unilateral Hilar Lymphadenopathy and Fever of Unknown Origin

Etiological distribution and clinical features of fever of unknown origin with pulmonary lesions in South China

Lung abscess preceded by fever of unknown origin: a case report

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