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Case Report

Fever of Unknown Origin in a Swiss-Born Child: Don’t Miss Tuberculosis!

1
Pediatric Infectious Diseases Unit, University Hospital and University of Lausanne (CHUV), Lausanne, Switzerland
2
Institute of Microbiology, University Hospital and University of Lausanne (CHUV), Lausanne, Switzerland
3
Department of Neurosurgery, University Hospital and University of Lausanne (CHUV), Lausanne, Switzerland
4
Pediatric Intensive Care Unit, University Hospital and University of Lausanne (CHUV), Lausanne, Switzerland
*
Author to whom correspondence should be addressed.
Clin. Pract. 2012, 2(2), e36; https://doi.org/10.4081/cp.2012.e36
Submission received: 15 December 2011 / Revised: 7 February 2012 / Accepted: 9 February 2012 / Published: 28 February 2012

Abstract

Tuberculosis incidence is low in Switzer land. We report here on a Swiss-born toddler. Tuberculosis manifested with a fever of unknown origin, mimicking an inflammatory or autoimmune disorder triggering a high dose of corticosteroid treatment. The disease went unrecognized for several weeks until development of a miliary tuberculosis with advanced central nervous system involvement. This case highlights the difficulties encountered in diagnosing tuberculosis and in identifying the origin of this case. It reminds us that this disease must never be forgotten when facing a child with persistent fever who must be screened for, before starting immunosuppressive therapy.
Keywords: fever; Swiss; tuberculosis fever; Swiss; tuberculosis

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MDPI and ACS Style

Cegielski, M.; Vaudaux, B.; Jaton, K.; Bervini, D.; Perez, M.-H. Fever of Unknown Origin in a Swiss-Born Child: Don’t Miss Tuberculosis! Clin. Pract. 2012, 2, e36. https://doi.org/10.4081/cp.2012.e36

AMA Style

Cegielski M, Vaudaux B, Jaton K, Bervini D, Perez M-H. Fever of Unknown Origin in a Swiss-Born Child: Don’t Miss Tuberculosis! Clinics and Practice. 2012; 2(2):e36. https://doi.org/10.4081/cp.2012.e36

Chicago/Turabian Style

Cegielski, Melanie, Bernard Vaudaux, Katia Jaton, David Bervini, and Marie-Helene Perez. 2012. "Fever of Unknown Origin in a Swiss-Born Child: Don’t Miss Tuberculosis!" Clinics and Practice 2, no. 2: e36. https://doi.org/10.4081/cp.2012.e36

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