Thrombophlebitis causing Pyrexia of unknown origin diagnosed by PET-CT

S. Kamaledeen, L. Vardon, S. Poulton, D. Flowers, C. Ihezue
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Abstract

Pyrexia of Unknown Origin is defined as a temperature of more than 38.3°c on more than one occasion for at least three weeks, with an unclear diagnosis after one week in hospital. We describe a case of an 82-year-old male with Pyrexia of Unknown Origin in which no diagnosis could be established despite multiple investigations. Positron emission tomography computerized tomography (PET-CT) scan, performed to exclude malignancy, revealed the unexpected finding of an infected thrombus as the source of the pyrexia. Our case demonstrates the pivotal role of PET-CT in diagnosing the cause of Pyrexia of unknown origin. PET-CT is now easily accessible to clinicians and should be considered in the search for an elusive diagnosis of Pyrexia of Unknown Origin. *Correspondence to: Salma Kamaledeen, Specialist Registrar, Clinical Radiology, Queen Alexandra Hospital, Portsmouth, UK, E-mail: salma.kamaledeen@doctors.org.uk
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由PET-CT诊断的不明原因的发热性血栓性静脉炎
不明原因发热定义为至少三周内不止一次体温超过38.3°c,住院一周后诊断不清。我们描述了一个82岁的男性与不明原因的发热,其中没有诊断可以建立尽管多次调查。正电子发射断层扫描计算机断层扫描(PET-CT),进行排除恶性肿瘤,显示意外发现感染血栓作为发热的来源。我们的病例证明了PET-CT在诊断病因不明的发热中的关键作用。PET-CT现在对临床医生来说很容易获得,在寻找不明原因发热的难以捉摸的诊断时应该考虑。*通讯:Salma Kamaledeen,英国朴茨茅斯亚历山德拉女王医院临床放射科专科注册主任,E-mail: salma.kamaledeen@doctors.org.uk
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