Intestinal malrotation as a misdiagnosis of pediatric colchicine resistant familial Mediterranean fever.
作者信息
Heshin-Bekenstein Merav, Hashkes Philip J
机构信息
Pediatric Department, Shaare Zedek Medical Center, P.O. Box 3235, 9103102, Jerusalem, Israel.
Pediatric Rheumatology Unit, Shaare Zedek Medical Center, P.O. Box 3235, 9103102, Jerusalem, Israel.
出版信息
Pediatr Rheumatol Online J. 2015 Nov 10;13(1):45. doi: 10.1186/s12969-015-0044-6.
BACKGROUND
Familial Mediterranean fever (FMF) is a disorder characterized by recurrent attacks of fever and serosal inflammation, particularly abdominal pain. Other disease processes, including medical and surgical emergencies, may mimic FMF, especially in atypical cases.
CASE PRESENTATION
We present a case of an adolescent male, referred to us with a diagnosis of colchicine resistant FMF, ultimately diagnosed with intestinal malrotation and recurrent volvulus.
CONCLUSIONS
In atypical presentations of FMF with potential "red flags", a thorough patient history is extremely important and should result in prompt referral for the appropriate diagnostic tests.
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