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KMID : 0984720090410030196
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Infection and Chemotherapy
2009 Volume.41 No. 3 p.196 ~ p.198
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Mediastinal Tuberculous Lymphadenitis with Periodic Fever
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Park Cheong-Won
Cheong Hee-Jin
Song Joon-Young
Choi Won-Suk
Kim Mi-Jeong
Kim Woo-Joo
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Abstract
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A 60-year-old man undergoing maintenance hemodialysis presented with periodic fever, which resembled Pel-Ebstein fever of Hodgkin’s lymphoma. Despite scores of diagnostic evaluations, origin of the fever remained obscure. On positron emission tomography/computed tomography scan, focal hot uptakes were seen in the mediastinum and mediastinoscopic biopsy showed many acid-fast bacilli with chronic granulomatous inflammation and necrosis. After a week of anti-tuberculosis medication, the patient remained afebrile without recourse to antipyretics.
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KEYWORD
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Tuberculous lymphadenitis, Fever of unknown origin, Periodic fever
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