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Revista Ciencias de la Salud
versión impresa ISSN 1692-7273versión On-line ISSN 2145-4507
Resumen
ARANGO RIVAS, Ana María et al. Sarcoidosis as a Cause of Fever of Unknown Origin: Case Report. Rev. Cienc. Salud [online]. 2022, vol.20, n.2, pp.145-163. Epub 22-Ago-2023. ISSN 1692-7273. https://doi.org/10.12804/revistas.urosario.edu.co/revsalud/a.10371.
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/CT 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.
Palabras clave : Sarcoidosis; pulmonary sarcoidosis; panniculitis; unknown origin fever; granulomatous disease.