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A Physician's Nightmare: Fever of Unknown Origin

Sana Din1, Farrukh Anwer2, Mirza Beg3

  • 1Upstate Medical University, Syracuse, NY 13210, USA.

Case Reports in Pediatrics
|July 20, 2016
PubMed

Insights

Fever of unknown origin (FUO) in a child was successfully treated by removing a wandering spleen. This rare condition, causing abdominal pain and constipation, resolved after splenectomy.

Area of Science:

  • Pediatric Medicine
  • Gastroenterology
  • Surgical Case Report

Background:

  • Fever of unknown origin (FUO) presents diagnostic challenges.
  • FUO is defined by intermittent fever without a clear cause.
  • Various etiologies contribute to the difficulty in diagnosing FUO.

Purpose of the Study:

  • To present a pediatric case of FUO.
  • To highlight wandering spleen as a rare cause of FUO.
  • To demonstrate the successful management of FUO secondary to wandering spleen.

Main Methods:

  • Case presentation of an 18-month-old female with recurrent fever.
  • Diagnostic workup revealing wandering spleen.
  • Surgical intervention: splenectomy.

Main Results:

  • The patient presented with fever, splenomegaly, abdominal pain, and constipation.
  • Wandering spleen was identified as the underlying etiology.
  • Post-splenectomy, fever resolved, and abdominal pain and constipation significantly improved.

Conclusions:

  • Wandering spleen can manifest as FUO in pediatric patients.
  • Splenectomy is an effective treatment for symptomatic wandering spleen.
  • Early diagnosis and surgical intervention can resolve FUO and associated symptoms.

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