A case of sigmoid colon carcinoma presenting as pyrexia of unknown origin
DOI:
https://doi.org/10.18203/2349-2902.isj20243565Keywords:
Pyrexia of unknown origin, Colorectal malignancy, Colon cancer, Sigmoid colonAbstract
Pyrexia of unknown origin (PUO) is a diagnostic challenge with a variety of causative factors, one of which is malignancy. This report throws light on sigmoid colon carcinoma, one of the lesser understood causes of pyrexia of unknown origin, where unremitting fever was the presenting symptom. Exclusion of common infectious causes of fever with thorough diagnostic work up lead to a diagnosis of adenocarcinoma of sigmoid colon. Fever subsided completely in the postoperative course.
References
Loizidou A, Aoun M, Klastersky J. Fever of unknown origin in cancer patients. Crit Rev Oncol Hematol. 2016;101:125-30.
Hirschmann JV. Fever of unknown origin in adults. Clin Infect Dis. 1997;24(3):291-300.
Dai W, Chung KS. Carcinoma of Colon: a rare cause of fever of unknown origin. Chin J Cancer Res. 2012;24(2):157-60.
Belhassen-García M, Velasco-Tirado V, López-Bernus A, Alonso-Sardón M, Carpio-Pérez A, Fuentes-Pardo L, et al. Fever of unknown origin as the first manifestation of colonic pathology. Clin Med (Lond). 2013;13(2):141-5.
Agmon-Levin N, Ziv-Sokolovsky N, Shull P, Sthoeger ZM. Carcinoma of colon presenting as fever of unknown origin. Am J Med Sci. 2005;329(6):322-6.
Bansal RA, Hayman GR, Bansal AS. Fever of unknown origin: an unusual case. Case Rep Infect Dis. 2011;2011:271808.
Karachalios GN, Karachaliou IG, Bablekos G, Charalabopoulos K. Fever of unknown origin in carcinoma of the colon. Med Princ Pract. 2004;13(3):169-70.