Fever associated with metal device. Case report
https://doi.org/10.22625/2072-6732-2019-11-3-126-130
Abstract
Metal constructions can cause fever even after a few years post implantation. This paper describes a case of 27 year old female with a fever associated with titanium construction implanted for kyphoscoliosis. 3 years post-operatively she developed afever (up to 39°С) and associated back pain. Examination revealed a hepatomegaly and lymphadenopathy (cervical and inguinal groups). Other investigations showed: neutrophilic leukocytosis (16×109\L), thrombocytosis (620×109\L), elevation of the C-reactive protein (76 ng/ml), ESR (62 mm/h) and ferritin (1615 ng/ml). There were no features of infection, connective tissue disease or hemoblastosis. A short course of therapy with methylprednisolone led to transient improvement. The metal device was surgically removed which caused an immediate elimination of fever and subsequent resolution of leukocytosis, thrombocytosis, lymphadenopathy and hepatomegaly.
About the Authors
V. G. Potapenko
Municipal Clinical Hospital № 31
Russian Federation
Saint-Petersburg
Russian Federation
Saint-Petersburg
A. A. Karpushin
Surgical hospital «Na shodne»
Russian Federation
Moscow
Russian Federation
Moscow
E. E. Leenman
North-Western State Medical University named after I.I. Mechnikov
Russian Federation
Saint-Petersburg
Russian Federation
Saint-Petersburg
N. A. Potikhonova
Russian Scientific Research Institute of Hematology and Transfusiology
Russian Federation
Saint-Petersburg
Russian Federation
Saint-Petersburg
V. I. Mazurov
North-Western State Medical University named after I.I. Mechnikov
Russian Federation
Saint-Petersburg
Russian Federation
Saint-Petersburg
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Review
For citations:
Potapenko V.G., Karpushin A.A., Leenman E.E., Potikhonova N.A., Mazurov V.I. Fever associated with metal device. Case report. Journal Infectology. 2019;11(3):126-130. (In Russ.) https://doi.org/10.22625/2072-6732-2019-11-3-126-130
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