Fever as the Only First Sign of Crohn’s Disease—Difficulties in Diagnosis during the COVID-19 Pandemic
We present a case of a nine-year-old girl with Crohn’s disease whose only first manifestation was fever. The patient was treated with antibiotics for six weeks by her general practitioner via teleconsultations during the COVID-19 pandemic. However, no significant improvement was observed. Only the a...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-11-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/9/12/1791 |
| _version_ | 1797460887157604352 |
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| author | Aleksandra Kęsicka Judyta Burandt Adam Główczewski Aneta Krogulska |
| author_facet | Aleksandra Kęsicka Judyta Burandt Adam Główczewski Aneta Krogulska |
| author_sort | Aleksandra Kęsicka |
| collection | DOAJ |
| description | We present a case of a nine-year-old girl with Crohn’s disease whose only first manifestation was fever. The patient was treated with antibiotics for six weeks by her general practitioner via teleconsultations during the COVID-19 pandemic. However, no significant improvement was observed. Only the appearance of loose stools after six weeks of observation and the lack of effect of previous treatment allowed for targeting of the diagnostic process and an unequivocal recognition of Crohn’s disease. Our aim is to emphasize the difficulties in diagnosis related to the atypical course of the disease, especially in the context of the ongoing COVID-19 pandemic. The described course of Crohn’s disease occurs in a minority of patients; however, this disease should not be overlooked in the differential diagnosis of fever in paediatric patients. |
| first_indexed | 2024-03-09T17:12:30Z |
| format | Article |
| id | doaj.art-863f6997c203420592bd8be804f00e24 |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-09T17:12:30Z |
| publishDate | 2022-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-863f6997c203420592bd8be804f00e242023-11-24T13:59:50ZengMDPI AGChildren2227-90672022-11-01912179110.3390/children9121791Fever as the Only First Sign of Crohn’s Disease—Difficulties in Diagnosis during the COVID-19 PandemicAleksandra Kęsicka0Judyta Burandt1Adam Główczewski2Aneta Krogulska3Student Research Club Paediatric, Allergology and Gastroenterology, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, 87-100 Toruń, PolandStudent Research Club Paediatric, Allergology and Gastroenterology, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, 87-100 Toruń, PolandDepartment of Pediatrics, Allergology and Gastroenterology, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, 87-100 Toruń, PolandDepartment of Pediatrics, Allergology and Gastroenterology, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, 87-100 Toruń, PolandWe present a case of a nine-year-old girl with Crohn’s disease whose only first manifestation was fever. The patient was treated with antibiotics for six weeks by her general practitioner via teleconsultations during the COVID-19 pandemic. However, no significant improvement was observed. Only the appearance of loose stools after six weeks of observation and the lack of effect of previous treatment allowed for targeting of the diagnostic process and an unequivocal recognition of Crohn’s disease. Our aim is to emphasize the difficulties in diagnosis related to the atypical course of the disease, especially in the context of the ongoing COVID-19 pandemic. The described course of Crohn’s disease occurs in a minority of patients; however, this disease should not be overlooked in the differential diagnosis of fever in paediatric patients.https://www.mdpi.com/2227-9067/9/12/1791feverCrohn’s diseaseteleconsultations |
| spellingShingle | Aleksandra Kęsicka Judyta Burandt Adam Główczewski Aneta Krogulska Fever as the Only First Sign of Crohn’s Disease—Difficulties in Diagnosis during the COVID-19 Pandemic Children fever Crohn’s disease teleconsultations |
| title | Fever as the Only First Sign of Crohn’s Disease—Difficulties in Diagnosis during the COVID-19 Pandemic |
| title_full | Fever as the Only First Sign of Crohn’s Disease—Difficulties in Diagnosis during the COVID-19 Pandemic |
| title_fullStr | Fever as the Only First Sign of Crohn’s Disease—Difficulties in Diagnosis during the COVID-19 Pandemic |
| title_full_unstemmed | Fever as the Only First Sign of Crohn’s Disease—Difficulties in Diagnosis during the COVID-19 Pandemic |
| title_short | Fever as the Only First Sign of Crohn’s Disease—Difficulties in Diagnosis during the COVID-19 Pandemic |
| title_sort | fever as the only first sign of crohn s disease difficulties in diagnosis during the covid 19 pandemic |
| topic | fever Crohn’s disease teleconsultations |
| url | https://www.mdpi.com/2227-9067/9/12/1791 |
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