Fever of unknown origin in a Swiss-born child: don't miss tuberculosis!

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State: Public
Version: Final published version
Serval ID
serval:BIB_EFFFDCC77E0B
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Title
Fever of unknown origin in a Swiss-born child: don't miss tuberculosis!
Journal
Clinics and Practice
Author(s)
Cegielski M., Vaudaux B., Jaton K., Bervini D., Perez M.H.
ISSN
2039-7275 (Print)
ISSN-L
2039-7275
Publication state
Published
Issued date
2012
Peer-reviewed
Oui
Volume
2
Number
2
Pages
e36
Language
english
Abstract
Tuberculosis incidence is low in Switzer land. We report here on a Swiss-born toddler. Tuberculosis manifested with a fever of unknown origin, mimicking an inflammatory or autoimmune disorder triggering a high dose of corticosteroid treatment. The disease went unrecognized for several weeks until development of a miliary tuberculosis with advanced central nervous system involvement. This case highlights the difficulties encountered in diagnosing tuberculosis and in identifying the origin of this case. It reminds us that this disease must never be forgotten when facing a child with persistent fever who must be screened for, before starting immunosuppressive therapy.
Pubmed
Open Access
Yes
Create date
14/05/2013 15:27
Last modification date
20/08/2019 16:17
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