Estébanez Muñoz M, Barbado Hernández F J, Gómez Cerezo J, López Rodríguez M, Pagán Muñoz B, Vázquez Rodríguez J J
Servicio de Medicina Interna, Hospital Universitario La Paz, Madrid, Spain.
An Med Interna. 2007 Apr;24(4):185-6. doi: 10.4321/s0212-71992007000400007.
We present two patients with Crohn's disease who presented with fever unknown origin, and mild intestinal symptoms. In case 1, the debut was with intermittent fever and symmetrical polyarthritis of the wrists, elbows, ankles and knees; in the case 2, prolonged fever associated to unspecific colicky abdominal pain. The initial approach was fever unknown origin yielded no etiology in both of them. The barium studies of the intestinal tract of paramount importance to reach a positive diagnosis in both cases. We strongly recommend the use of barium studies as a first line diagnostic tool in the approach of fever unknown origin.
我们报告了两名克罗恩病患者,他们最初表现为不明原因发热和轻度肠道症状。病例1以间歇性发热以及手腕、肘部、脚踝和膝盖的对称性多关节炎起病;病例2则是长期发热伴非特异性绞痛性腹痛。对这两名患者最初针对不明原因发热的检查均未明确病因。肠道钡剂造影检查对这两个病例的确诊至关重要。我们强烈建议在不明原因发热的诊断过程中,将钡剂造影检查作为一线诊断工具。