A Case of Systemic Vasculitis Presented as Fever of Unknown Origin / 감염과화학요법
Infection and Chemotherapy
;
: 377-380, 2004.
Article
in Korean
| WPRIM
| ID: wpr-722267
ABSTRACT
Fever of unknown origin (FUO) means fever that does not resolve spontaneously in the period expected for self-limited infection and whose cause cannot be ascertained despite considerable diagnostic efforts. We experienced a case of FUO associated with systemic vasculitis, which was diagnosed with clinical manifestation, radiographic findings, the presence of anti-neutrophil cytoplasmic antibody (ANCA), and renal biopsy. A 54-year-old female was admitted to our hospital with remittent fever of 3 months. A paranasal sinus (PNS) view revealed maxillary and ethmoidal sinusitis, and urine analysis showed microscopic hematuria. We performed a renal biopsy on the basis of positive ANCA and microscopic hematuria. The renal biopsy showed pauci-immune crescentic glomerulonephritis without granuloma, interstitial inflammation, and small vessel vasculitis. Under the diagnosis of ANCA-associated systemic vasculitis, she was treated with steroid and cyclophosphamide. She showed marked clinical improvement.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Vasculitis
/
Biopsy
/
Ethmoid Sinusitis
/
Antibodies, Antineutrophil Cytoplasmic
/
Cyclophosphamide
/
Diagnosis
/
Systemic Vasculitis
/
Fever
/
Fever of Unknown Origin
/
Glomerulonephritis
Type of study:
Diagnostic study
Limits:
Female
/
Humans
Language:
Korean
Journal:
Infection and Chemotherapy
Year:
2004
Type:
Article
Similar
MEDLINE
...
LILACS
LIS