Lister Hospital, Stevenage, UK.
Clin Med (Lond). 2012 Aug;12(4):389-90. doi: 10.7861/clinmedicine.12-4-389.
Ulcerative colitis (UC) can rarely present with fever but it is unusual for it to be devoid of gastrointestinal symptoms. We report a case of UC that presented without bowel symptoms; fever being the only clinical feature. This case highlights the importance of considering UC as a cause of pyrexia of unknown origin (PUO) even in the absence of the lower gastrointestinal features commonly associated with this pathology. It is important to recognise this association as the incidence of UC is increasing in the older population.
溃疡性结肠炎（UC）很少以发热为表现，但无胃肠道症状则较为罕见。我们报告一例 UC 患者，其无肠道症状，仅以发热为唯一临床特征。该病例强调了即使在无常见于该病理的下胃肠道特征的情况下，仍将 UC 视为不明原因发热（PUO）病因的重要性。认识到这种相关性很重要，因为老年人群中 UC 的发病率正在增加。
