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Misdiagnosis of Behçet’s disease with unknown protracted fever and chill after surgical excision of cardiac tumor

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Abstract

Behçet’s disease involving the heart is extremely rare. Sometimes it is probable to misdiagnose as infective endocarditis when protracted fever and chill occurs. We report a case of protracted pyrexia of unknown origin after surgical excision of a cardiac tumour. Clinically and pathologically a diagnosis of infective endocarditis was probable but antibiotics had no effect. After case review the diagnosis of Behçet’s disease was established and the patient was treated with glucocorticoids which resulted in resolution.

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Authors and Affiliations

  1. Department of Cardiac and Thoracic Surgery, The first affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, People’s Republic of China

    Yu Zou, Yiming Ni & Xing Chen

  2. Department of Infectious Disease, The first affiliated Hospital, College of Medicine, Zhejiang University, 79 Qingchun road, 310003, Hangzhou, Zhejiang, People’s Republic of China

    Xiaoli Liu

Authors
  1. Yu Zou
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  2. Yiming Ni
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  3. Xiaoli Liu
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  4. Xing Chen
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Correspondence to Xiaoli Liu.

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Zou, Y., Ni, Y., Liu, X. et al. Misdiagnosis of Behçet’s disease with unknown protracted fever and chill after surgical excision of cardiac tumor. Rheumatol Int 32, 2177–2179 (2012). https://doi.org/10.1007/s00296-010-1428-z

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  • DOI: https://doi.org/10.1007/s00296-010-1428-z

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