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Intermittierendes Fieber unter iatrogener Immunsuppression

Intermittent fever under iatrogenic immunosuppression

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Zusammenfassung

Persistierendes Fieber mit B-Symptomatik bei einem älteren Patienten fordert zunächst eine gründliche Tumor- und Infektionsfokussuche. Wir berichten über eine vergebliche Herdsuche bei einem 71-jährigen Patienten mit Fieber unbekannter Ursache. Dieser stand nach einer Herztransplantation unter medikamentöser Immunsuppression, sodass schlussendlich die Diagnose „everolimusinduziertes Fieber“ gestellt wurde. Das Fieber stellte sich nach Umstellung der Therapie als rasch reversibel heraus.

Abstract

Prolonged fever of unknown origin together with night sweats in the elderly requires a systematic search for malignant and infectious foci. Here we present a case of fever of unknown origin which ultimately led us to the diagnosis of everolimus-induced fever. After changing the immunosuppressive regime it resolved rapidly.

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Authors and Affiliations

  1. I. Medizinische Klinik, Bernhard-Nocht-Klinik für Tropenmedizin, Universitätsklinikum Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Deutschland

    M. Bönstrup,  S. Schmiedel & A.W. Lohse

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  1. M. Bönstrup
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  2. S. Schmiedel
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  3. A.W. Lohse
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Correspondence to S. Schmiedel.

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Bönstrup, M., Schmiedel, S. & Lohse, A. Intermittierendes Fieber unter iatrogener Immunsuppression. Internist 53, 213–217 (2012). https://doi.org/10.1007/s00108-011-2914-4

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  • DOI: https://doi.org/10.1007/s00108-011-2914-4

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