Article: article from journal or magazin.
Case report (case report): feedback on an observation with a short commentary.
Fièvre d'origine indéterminée avec hépatite granulomateuse, uvéite et insuffisance rénale aiguë. [Fever of unknown origin with granulomatous hepatitis, uveitis and acute renal failure]
Schweizerische Rundschau fur Medizin Praxis
Case Reports English Abstract Journal Article --- Old month value: Jan 12
A 46-year-old man was referred to our hospital because of fever of unknown origin (FUO). Two months before admission, he noted fever, weight loss, and asthenia. Physical examination revealed only mechanical pains of the right shoulder. In the past, patient's father had a tuberculosis. At the age of 29 years, Brucella granulomatous hepatitis and B hepatitis were diagnosed. The past three years, he developed two episodes of uveitis which resolved with local treatment. The hepatic biopsy revealed only a non specific granulomatous hepatitis. Few days after admission, the patient developed acute renal failure without proteinuria or hematuria. The renal biopsy confirmed the presence of noncaseating granulomas. In the context of the patient, we diagnosed a sarcoidosis. All the symptoms resolved with the initiation of prednisone treatment. The FUO differential diagnosis, and the different aspects of renal sarcoidosis are discussed.
Biopsy, Needle Brucellosis/diagnosis/pathology Diagnosis, Differential Fever of Unknown Origin/*etiology/pathology Granuloma/*etiology/pathology Hepatitis/*etiology/pathology Hepatitis B, Chronic/diagnosis/pathology Humans Kidney/pathology Kidney Diseases/*diagnosis/pathology Liver/pathology Male Middle Aged Postoperative Complications/*diagnosis/*etiology/pathology Sarcoidosis/*diagnosis/pathology Uveitis/*etiology/pathology
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