Mycoplasma Pneumonia: An Unrecognized Cause of Fever of Unknown Origin in an Adult
A 26-year-old female was admitted for fever of unknown origin (FUO), headaches, left ankle edema, and a lower extremity rash consistent with erythema nodosum. She had no respiratory symptoms or family history of autoimmune diseases. A chest X-ray was negative for pneumonia or hilar adenopathy. Exten...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Infectious Diseases |
| Online Access: | http://dx.doi.org/10.1155/2017/6854913 |
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| author | Fatima Ali-Ahmed Alexandra Halalau |
| author_facet | Fatima Ali-Ahmed Alexandra Halalau |
| author_sort | Fatima Ali-Ahmed |
| collection | DOAJ |
| description | A 26-year-old female was admitted for fever of unknown origin (FUO), headaches, left ankle edema, and a lower extremity rash consistent with erythema nodosum. She had no respiratory symptoms or family history of autoimmune diseases. A chest X-ray was negative for pneumonia or hilar adenopathy. Extensive autoimmune workup was negative. A chest, abdomen, and pelvis computed tomography scan was unremarkable and laboratory studies revealed no source of infection. On hospital day 5, the patient developed a mild productive cough. Her Mycoplasma pneumonia (MP) IgM was high, confirming the diagnosis of MP induced FUO. She was started on azithromycin 500 mg daily and within 24 hours her fevers and headaches resolved. Her left ankle edema and EN gradually improved over a course of a few weeks. This case report highlights the need for MP testing in the evaluation of fever of unknown origin, even in the absence of pulmonary manifestations. |
| format | Article |
| id | doaj-art-db8488df96074ccdb372356453fbb931 |
| institution | Kabale University |
| issn | 2090-6625 2090-6633 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Infectious Diseases |
| spelling | doaj-art-db8488df96074ccdb372356453fbb9312025-02-03T01:08:54ZengWileyCase Reports in Infectious Diseases2090-66252090-66332017-01-01201710.1155/2017/68549136854913Mycoplasma Pneumonia: An Unrecognized Cause of Fever of Unknown Origin in an AdultFatima Ali-Ahmed0Alexandra Halalau1Internal Medicine/Pediatrics Department, Beaumont Health, Royal Oak, MI, USAInternal Medicine Department, General Internal Medicine Division, Beaumont Health, Royal Oak, MI, USAA 26-year-old female was admitted for fever of unknown origin (FUO), headaches, left ankle edema, and a lower extremity rash consistent with erythema nodosum. She had no respiratory symptoms or family history of autoimmune diseases. A chest X-ray was negative for pneumonia or hilar adenopathy. Extensive autoimmune workup was negative. A chest, abdomen, and pelvis computed tomography scan was unremarkable and laboratory studies revealed no source of infection. On hospital day 5, the patient developed a mild productive cough. Her Mycoplasma pneumonia (MP) IgM was high, confirming the diagnosis of MP induced FUO. She was started on azithromycin 500 mg daily and within 24 hours her fevers and headaches resolved. Her left ankle edema and EN gradually improved over a course of a few weeks. This case report highlights the need for MP testing in the evaluation of fever of unknown origin, even in the absence of pulmonary manifestations.http://dx.doi.org/10.1155/2017/6854913 |
| spellingShingle | Fatima Ali-Ahmed Alexandra Halalau Mycoplasma Pneumonia: An Unrecognized Cause of Fever of Unknown Origin in an Adult Case Reports in Infectious Diseases |
| title | Mycoplasma Pneumonia: An Unrecognized Cause of Fever of Unknown Origin in an Adult |
| title_full | Mycoplasma Pneumonia: An Unrecognized Cause of Fever of Unknown Origin in an Adult |
| title_fullStr | Mycoplasma Pneumonia: An Unrecognized Cause of Fever of Unknown Origin in an Adult |
| title_full_unstemmed | Mycoplasma Pneumonia: An Unrecognized Cause of Fever of Unknown Origin in an Adult |
| title_short | Mycoplasma Pneumonia: An Unrecognized Cause of Fever of Unknown Origin in an Adult |
| title_sort | mycoplasma pneumonia an unrecognized cause of fever of unknown origin in an adult |
| url | http://dx.doi.org/10.1155/2017/6854913 |
| work_keys_str_mv | AT fatimaaliahmed mycoplasmapneumoniaanunrecognizedcauseoffeverofunknownorigininanadult AT alexandrahalalau mycoplasmapneumoniaanunrecognizedcauseoffeverofunknownorigininanadult |