Paone G, Perriard-Noetzold U, Giovanella L

Language: English
References: 5
Page: 121-122
PDF size: 180.32 Kb.

Text Extraction

CASE REPORT
A 50 years-old female was presented to our attention complained for a 3 weeks recurrent chilling fever accompanied, productive cough and dyspnea. An initial laboratory evaluation showed a C-reactive protein (CRP) level of 183 mg/L [reference value (rv) ‹ 5 mg/L], hemoglobin (Hb) level 97 g/L, glutamic oxaloacetic transaminase (GOT) and glutamic-pyruvic transaminase (GPT) respectively of 39 and 43 U/L (rv GOT ‹ 36 U/L and GPT ‹ 37 U/L). A serological test to investigate hepatitis was negative.

REFERENCES

1. Zoutman DE, Ralph ED, Frei JV. Granulomatous hepatitis and fever of unknown origin. An 11-year experience of 23 cases with three years’ follow-up. J Clin Gastroenterol 1991; 13: 69-75.

2. Paul S, Sepehr GJ, Weinstein B, Roper. Co-occurrence of idiopathic granulomatous hepatitis and primary biliary cirrhosis. Dig Dis Sci 2014; 59: 2831-5.

3. Lagana SM, Moreira RK, Lefkowitch JH. Hepatic granulomas: pathogenesis and differential diagnosis. Clin Liver Dis 2010; 14: 605-17.

4. Mulders-Manders C, Simon A, Bleeker-Rovers C. Fever of unknown origin. Clin Med 2015; 15: 280-4.

5. Kouijzer IJ, Bleeker-Rovers CP, Oyen WJ. FDG-PET in fever of unknown origin. Semin Nucl Med 2013; 43: 333-9.