Sarcoidosis as a cause of fever of unknown origin: case report.

DOI:  https://doi.org/10.12804/revistas.urosario.edu.co/revsalud/a.10371

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Published: May 24, 2022
Issue: Vol. 20 No. 2 (2022): Ciencias de la Salud
Section Case Study


Keywords: sarcoidosis , sarcoidosis pulmonar , paniculitis , fiebre de origen desconocido , enfermedad granulomatosa Sarcoidosis , pulmonary sarcoidosis , panniculitis , unknown origin fever , granulomatous disease sarcoidose , sarcoidose pulmonar , paniculite , febre de origem desconhecida , doença granulomatosa

Main Article Content

Authors

  Ana María Arango Rivas Universidad Pontificia Bolivariana
  Gustavo Adolfo Castilla Agudelo Universidad Pontificia Bolivariana
  Andres Chavarriaga Restrepo Universidad Pontificia Bolivariana
  Carlos Jaime Velásquez Franco Clínica Universitaria Bolivariana
Gabriel Jaime Varela Aguirre Clínica Universitaria Bolivariana
Abstract

Introduction: In the approach to patients with fever of unknown origin, it is important to take into account non-infectious inflammatory diseases, including connective tissue diseases, vasculitis and granulomatous diseases. Sarcoidosis is an idiopathic, chronic, multisystemic, granulomatous inflammatory disease and is a cause of fever of unknown origin. Case presentation: There is the case of a patient with fever and skin manifestations suggestive of endocarditis and painful nodular lesions in the pretibial region. This etiology was ruled out by transesophageal echocardiography, with negative blood cultures and without a clear infectious focus or response to broad-spectrum antibiotics. PET was performed with evidence of lymphadenopathy in both pulmonary hila and skin biopsy evidence of granulomas without necrosis, without vasculitis, with septal infiltrate. Conclusions: By suggestive clinical picture and radiological findings, sarcoidosis is suspected and management is started with subsequent resolution of its picture.

How to Cite
Arango Rivas, A. M., Castilla Agudelo, G. A., Chavarriaga Restrepo, A., Velásquez Franco, C. J., & Varela Aguirre, G. J. (2022). Sarcoidosis as a cause of fever of unknown origin: case report. Revista Ciencias De La Salud, 20(2). https://doi.org/10.12804/revistas.urosario.edu.co/revsalud/a.10371
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