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Eleanor E. Sahn, MD; Ettaleah Bluestein, MD

Arch Dermatol. 1992;128(5):685-686.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

REPORT OF A CASE

A 14-year-old white boy was admitted to the hospital with fever of unknown origin, anemia, and renal failure. At the age of 2 months, he had undergone a valvuloplasty for congenital aortic stenosis. He remained healthy until the onset of low-grade fever and upper respiratory tract infection 2 months before admission. Despite two courses of antibiotics, the fever persisted and renal failure developed.

The physical examination revealed a chronically ill-appearing boy with fever, systolic and diastolic heart murmurs, and marked hepatosplenomegaly.

Laboratory examination disclosed the following values or results: hematocrit, 0.14; erythrocyte sedimentation rate (Westergren method), 103 mm/h; leukocyte count, 2.3 x 10⁹/L; platelet count, 120 x 10⁹/L; serum urea nitrogen, 18.2 mmol/L; creatinine, 495 p-mo/L; creatinine clearance, 0.17 mL/s; soluble immune complexes, 20.26 p.gEq/mL (normal, 0 to 4 p,gEq/mL); chest roentgenogram, cardiomegaly; and six blood cultures, antinuclear antibody, antibody titers for the human immunodeficiency virus, and purified protein derivative skin test, normal or negative. . . . [Full Text PDF of this Article]

Author Affiliations
Medical University of South Carolina, Charleston

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