Title of article :
Inflammatory myofibroblastic tumor of the mesentery associated with high fever and positive Widal test
Author/Authors :
Chouairy, Camil J. Saint George Hospital University Medical Center - Department of Pathology, Lebanon , Bechara, Elie A. Saint George Hospital University Medical Center - Department of Pediatrics, Lebanon , Gebran, Sleiman J. Saint George Hospital University Medical Center - Department of Pediatric Surgery, Lebanon , Gebran, Sleiman J. Al-Hada Armed Forces Hospital - Department of Pediatric Surgery, Saudi Arabia , Ghabril, Ramy H. Saint George Hospital University Medical Center - Department of Pediatrics, Lebanon
From page :
1819
To page :
1823
Abstract :
Inflammatory myofibroblastic tumor (IMT) is associated in 15-30% of cases with systemic symptomatology, such as prolonged fever, weight loss, elevated erythrocyte sedimentation rate (ESR), anemia, thrombocytosis, and leukocytosis. We report the case of a 4-year-old Lebanese boy who presented with high-grade fever of long duration, and a single (unpaired) positive Widal agglutination test. Blood culture was negative. A diagnosis of typhoid fever was made. An abdominal (mesenteric) IMT was incidentally discovered, 30 days after the fever had appeared. After surgery, the fever disappeared immediately, and the ESR returned to normal. We strongly favor the possibility of a false positive Widal test, due to polyclonal increase in serum immunoglobulins, which often occurs in IMT. We also think that IMT might be a mimicker of typhoid fever, both clinically and serologically. Physicians, especially pediatricians practicing in endemic areas, should probably be aware of this mimicry
Journal title :
Saudi Medical Journal
Journal title :
Saudi Medical Journal
Record number :
2680407
Link To Document :
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