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Anales de Medicina Interna
versão impressa ISSN 0212-7199
Resumo
ESTEBANEZ MUNOZ, M. et al. Crohns disease: is still the reason of fever of unknown origin?. An. Med. Interna (Madrid) [online]. 2007, vol.24, n.4, pp.185-186. ISSN 0212-7199.
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 unkown origin yielded no etiology in both of them. The barium studies of the intestinal tract of paramout 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 unkown origin.
Palavras-chave : Fever of unkown origin; Crohn's disease; Inflamatory bowel disease; Arthritis.