A Physician’s Nightmare: Fever of Unknown Origin

Fever of unknown origin (FUO) remains to be a challenge despite advancement in diagnostic technologies and procedures. FUO is considered when fever presents intermittently without an explanation. It has been linked to various etiologies, which makes it difficult to diagnose. We present the case of 1...

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Main Authors: Sana Din, Farrukh Anwer, Mirza Beg
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2016/5437971
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author Sana Din
Farrukh Anwer
Mirza Beg
author_facet Sana Din
Farrukh Anwer
Mirza Beg
author_sort Sana Din
collection DOAJ
description Fever of unknown origin (FUO) remains to be a challenge despite advancement in diagnostic technologies and procedures. FUO is considered when fever presents intermittently without an explanation. It has been linked to various etiologies, which makes it difficult to diagnose. We present the case of 18-month-old female with recurrent fever, splenomegaly, abdominal pain, and constipation. The workup for her symptoms revealed wandering spleen. Wandering spleen is a result from excessive laxity or absence of splenic ligaments. The patient underwent splenectomy and was advised to continue on Senna, Miralax, and high fiber diet. Her mother reported that the fever is no longer present and there is marked improvement in her constipation and abdominal pain after splenectomy.
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language English
publishDate 2016-01-01
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series Case Reports in Pediatrics
spelling doaj-art-d55f8c3e4360494486d73395a85606a22025-02-03T05:51:07ZengWileyCase Reports in Pediatrics2090-68032090-68112016-01-01201610.1155/2016/54379715437971A Physician’s Nightmare: Fever of Unknown OriginSana Din0Farrukh Anwer1Mirza Beg2Upstate Medical University, Syracuse, NY 13210, USAAuburn Community Hospital, Auburn, NY 13021, USADivision of Pediatric Gastroenterology, Hepatology & Nutrition, Upstate Medical University, Golisano Children’s Hospital, Syracuse, NY 13210, USAFever of unknown origin (FUO) remains to be a challenge despite advancement in diagnostic technologies and procedures. FUO is considered when fever presents intermittently without an explanation. It has been linked to various etiologies, which makes it difficult to diagnose. We present the case of 18-month-old female with recurrent fever, splenomegaly, abdominal pain, and constipation. The workup for her symptoms revealed wandering spleen. Wandering spleen is a result from excessive laxity or absence of splenic ligaments. The patient underwent splenectomy and was advised to continue on Senna, Miralax, and high fiber diet. Her mother reported that the fever is no longer present and there is marked improvement in her constipation and abdominal pain after splenectomy.http://dx.doi.org/10.1155/2016/5437971
spellingShingle Sana Din
Farrukh Anwer
Mirza Beg
A Physician’s Nightmare: Fever of Unknown Origin
Case Reports in Pediatrics
title A Physician’s Nightmare: Fever of Unknown Origin
title_full A Physician’s Nightmare: Fever of Unknown Origin
title_fullStr A Physician’s Nightmare: Fever of Unknown Origin
title_full_unstemmed A Physician’s Nightmare: Fever of Unknown Origin
title_short A Physician’s Nightmare: Fever of Unknown Origin
title_sort physician s nightmare fever of unknown origin
url http://dx.doi.org/10.1155/2016/5437971
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