A rare case of abdominal lymphadenopathy and fever

Excerpt

Dr. Macerola: A European 52-year-old man referred to our Emergency Department (ED) for high fever with chills, arthralgia of the small joints and sweating; these symptoms developed 1 month before the adm1ission. He did not take any chronic medication. In the last month he took paracetamol and, sometimes, non-steroidal anti-inflammatory drugs (NSAIDs), with partial and non-lasting benefit. His medical record was only notable for a previous episode characterized by the same symptoms, occurred about twenty years before. In that occasion, a whole body computed tomography (CT) scan only revealed a mild splenomegaly (diameter 15.5 cm) and enlarged lymph node (diameter 1.5 cm) along hepatic artery tract. A bone marrow biopsy was negative for significant alteration. Microbiological and immunological exams were all negative. Symptoms lasted a few months and slowly resolved without a conclusive diagnosis and any specific therapy. …