Fever associated with metal device. Case report

Metal constructions can cause fever even after a few years post implantation. This paper describes a case of 27 year old female with a fever associated with titanium construction implanted for kyphoscoliosis. 3 years post-operatively she developed afever (up to 39°С) and associated back pain. Examin...

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Main Authors: V. G. Potapenko, A. A. Karpushin, E. E. Leenman, N. A. Potikhonova, V. I. Mazurov
Format: Article
Language:Russian
Published: Journal Infectology 2019-10-01
Series:Журнал инфектологии
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Online Access:https://journal.niidi.ru/jofin/article/view/941
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author V. G. Potapenko
A. A. Karpushin
E. E. Leenman
N. A. Potikhonova
V. I. Mazurov
author_facet V. G. Potapenko
A. A. Karpushin
E. E. Leenman
N. A. Potikhonova
V. I. Mazurov
author_sort V. G. Potapenko
collection DOAJ
description Metal constructions can cause fever even after a few years post implantation. This paper describes a case of 27 year old female with a fever associated with titanium construction implanted for kyphoscoliosis. 3 years post-operatively she developed afever (up to 39°С) and associated back pain. Examination revealed a hepatomegaly and lymphadenopathy (cervical and inguinal groups). Other investigations showed: neutrophilic leukocytosis (16×109\L), thrombocytosis (620×109\L), elevation of the C-reactive protein (76 ng/ml), ESR (62 mm/h) and ferritin (1615 ng/ml). There were no features of infection, connective tissue disease or hemoblastosis. A short course of therapy with methylprednisolone led to transient improvement. The metal device was surgically removed which caused an immediate elimination of fever and subsequent resolution of leukocytosis, thrombocytosis, lymphadenopathy and hepatomegaly.
format Article
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institution Kabale University
issn 2072-6732
language Russian
publishDate 2019-10-01
publisher Journal Infectology
record_format Article
series Журнал инфектологии
spelling doaj-art-2f381eb7aff542c09ccde396f2d8e1012025-08-20T04:00:15ZrusJournal InfectologyЖурнал инфектологии2072-67322019-10-0111312613010.22625/2072-6732-2019-11-3-126-130749Fever associated with metal device. Case reportV. G. Potapenko0A. A. Karpushin1E. E. Leenman2N. A. Potikhonova3V. I. Mazurov4Municipal Clinical Hospital № 31Surgical hospital «Na shodne»North-Western State Medical University named after I.I. MechnikovRussian Scientific Research Institute of Hematology and TransfusiologyNorth-Western State Medical University named after I.I. MechnikovMetal constructions can cause fever even after a few years post implantation. This paper describes a case of 27 year old female with a fever associated with titanium construction implanted for kyphoscoliosis. 3 years post-operatively she developed afever (up to 39°С) and associated back pain. Examination revealed a hepatomegaly and lymphadenopathy (cervical and inguinal groups). Other investigations showed: neutrophilic leukocytosis (16×109\L), thrombocytosis (620×109\L), elevation of the C-reactive protein (76 ng/ml), ESR (62 mm/h) and ferritin (1615 ng/ml). There were no features of infection, connective tissue disease or hemoblastosis. A short course of therapy with methylprednisolone led to transient improvement. The metal device was surgically removed which caused an immediate elimination of fever and subsequent resolution of leukocytosis, thrombocytosis, lymphadenopathy and hepatomegaly.https://journal.niidi.ru/jofin/article/view/941fever of unknown originmetal devicehypersensitivityinflammationimmune fever
spellingShingle V. G. Potapenko
A. A. Karpushin
E. E. Leenman
N. A. Potikhonova
V. I. Mazurov
Fever associated with metal device. Case report
Журнал инфектологии
fever of unknown origin
metal device
hypersensitivity
inflammation
immune fever
title Fever associated with metal device. Case report
title_full Fever associated with metal device. Case report
title_fullStr Fever associated with metal device. Case report
title_full_unstemmed Fever associated with metal device. Case report
title_short Fever associated with metal device. Case report
title_sort fever associated with metal device case report
topic fever of unknown origin
metal device
hypersensitivity
inflammation
immune fever
url https://journal.niidi.ru/jofin/article/view/941
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AT aakarpushin feverassociatedwithmetaldevicecasereport
AT eeleenman feverassociatedwithmetaldevicecasereport
AT napotikhonova feverassociatedwithmetaldevicecasereport
AT vimazurov feverassociatedwithmetaldevicecasereport