Original Article

Brucellosis in Adults and Children: A 10-Year Case Series at Two Large Academic Hospitals in Houston, Texas

Objectives: Brucellosis is one of the most common zoonoses worldwide. Most cases in the United States occur among travelers or immigrants from endemic regions, mostly Central America. In this study, we aimed at describing and comparing the epidemiology and clinical presentation of brucellosis in pediatric and adult patients at two…

Posted in: fever of unknown origin 3 Houston 3 immigrants 5

Case Report

Fever of Unknown Origin from a Left Atrial Myxoma: An Immunologic Basis and Cytokine Association

Myxoma is the most common primary tumor of the heart. The typical presentations include a triad of embolic phenomena, intracardiac flow obstruction, and constitutional symptoms. We report a case of cardiac myxoma presenting as prolonged fever. Leukocytosis with a left shift, anemia, and elevated C-reactive protein were noted. A large…

Posted in: cytokines 3 fever of unknown origin 3

Case Report

Atypical Neuroleptic Malignant Syndrome Presenting as Fever of Unknown Origin in the Elderly

A 79-year-old nursing home resident who was taking olanzapine presented to multiple hospitals with fevers of unknown origin. After an extensive workup to rule out infection, the patient was diagnosed as having neuroleptic malignant syndrome (NMS). This patient’s presentation was atypical because of the lack of rigidity or tremor at…

Posted in: elderly 20 fever of unknown origin 3
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