详细记录  
题名:Fivre intermittente : expression rare d un adnocarcinome de l ampoule de Vater
作者:A. Gerber, M.-P. Moiton, F. Renou, J.-M. Bigourdan and J.-L. Yvin
来源:La Revue de Mdecine Interne[IF=----], Volume 28, Issue 4, April 2007, Pages 263-265
URL :http://dx.doi.org/10.1016/j.revmed.2006.11.010
日期:070430
摘要:
SummaryPlus
Rsum
Introduction

Le bilan de fivres prolonges intermittentes est un motif frquent d hospitalisation dans un service de mdecine interne. Les tiologies infectieuse, auto-immune et noplasique sont les plus frquemment retrouves.

Exgse

Nous rapportons une observation d un homme de 48 ans prsentant une fivre prolonge intermittente dont les bilans sont rests dans un premier temps ngatifs. Ce n est que devant l apparition secondaire de perturbations cliniques et biologiques que le diagnostic d ampullome vatrien a pu tre pos.

Conclusion

Les noplasies reprsentent une cause rare de fivre intermittente. Leur recherche doit cependant tre systmatique, la difficult de ce cas ayant t l absence initiale de point d appel clinique.

Purpose

Prolonged intermittent fevers are frequently seen in internal medicine and they constitute a real diagnosis challenge. Infection, auto-immune disease and neoplasy are the most common causes.

Exegesis

We report here a 48 year-old man with a prolonged intermittent fever. At first, all his assessments were negative and it s only secondary, as clinical and biological disturbances occur that the diagnosis of adenocarcinoma of the ampulla has been done.

Conclusion

Neoplasms represent a rare cause of intermittent prolonged fever, but we must always keep them in mind. In this case, any specific symptom was initially present to end up quickly to the solution.

6.

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