Blog
About

  • Record: found
  • Abstract: found
  • Article: not found

[Tuberculosis as a cause of fever of unknown origin in the elderly: a case report].

Read this article at

ScienceOpenPubMed
Bookmark
      There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

      Abstract

      In the last decade, the incidence of tubercular disease in Italy has increased. The age-groups 20-39 and 65-80 years are the ones mainly involved. However, compared to younger age-groups, the presentation of the disease in the elderly is often poorly characteristic, and for this reason a correct diagnosis is often delayed. We describe the case of an elderly man who came to our observation for the persistence of fever (since 20 days, mainly in the evening) associated with decreased leukocyte and platelet counts and with progressively worsening of his general conditions. The laboratory data and bacteriological and instrumental examinations were not diagnostic, whereas a bone marrow biopsy provided evidence of tubercular granulomas. The confirmation of the diagnosis of disseminated tuberculosis has been supplied subsequently with cultural test of smear. The patient's conditions rapidly improved after antitubercular treatment. This case underlines the relevance of bone marrow biopsy in the diagnosis of fever of unknown origin in the elderly, especially when the serious clinical conditions of the patient do not allow one to wait for the results of the cultural examination.

      Related collections

      Author and article information

      Affiliations
      [1 ] Dipartimento di Medicina Interna, Università degli Studi di Torino.
      Journal
      Ann. Ital. Med. Int.
      Annali italiani di medicina interna : organo ufficiale della Societa italiana di medicina interna
      0393-9340
      0393-9340
      August 2 2002
      : 17
      : 2
      12150045

      Comments

      Comment on this article