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An FUO patient diagnosed as appendicitis: a case report
Shupeng Song1, Jinqiu Zhao1, Yingzi Tang2
1Department of Infectious Disease, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
BMC Infectious Diseases
|September 17, 2024
Summary
Atypical appendicitis can present as fever of unknown origin, challenging diagnosis. Early surgical intervention is crucial for resolving persistent fever and improving patient outcomes.
Area of Science:
- Infectious Diseases
- Surgical Pathology
Background:
- Fever of unknown origin (FUO) diagnosis is complex, often linked to infectious diseases.
- Identifying pathogens and infection sites in FUO cases can be challenging.
Observation:
- A patient presented with fever, nausea, and anorexia, but no abdominal pain or tenderness.
- Initial imaging studies for appendicitis were inconclusive, despite one ultrasound suggesting the possibility.
- The patient's fever persisted despite anti-infective treatment.
Findings:
- Laparoscopic appendectomy revealed confirmed appendicitis.
- Post-surgery, the patient's temperature and infectious markers normalized.
Implications:
- Atypical appendicitis can be misdiagnosed as FUO due to non-specific symptoms and negative imaging.
- This case highlights the importance of considering appendicitis in FUO, even with atypical presentations.
- Timely surgical management of appendicitis is vital for resolving FUO and reducing patient burden.
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