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Tuberculosis or systemic lupus erythematosus? A diagnostic and therapeutic dilemma
Asmah Mohd1, Emily M L Goh, Sook-Khuan Chow
1Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
The Southeast Asian Journal of Tropical Medicine and Public Health
|September 16, 2003
Abstract:
The diagnosis of patients with fever of unknown origin (FUO) is often problematic because the range of possible differential diagnoses is broad. We report on a case in which a patient presented with FUO and was subsequently found to have both a collagen vascular disease and an intercurrent infection. Treatment for the collagen vascular disease with corticosteroids exacerbated the intercurrent infection. The problems in the diagnosis and management of such cases are discussed.