Pseudogout as a Cause of Fever of Unknown Origin Following Staphylococcal Bacteremia in an Older Patient

The causes of fevers in older adults are numerous and diverse, resulting in fevers of unknown origin that complicate the diagnosis process. Compared to young adults, older adults are characterized by comorbidities, aging-induced physiological changes, decreased homeostasis, reduced activities of dai...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2022-04, Vol.14 (4), p.e24333
Main Authors: Yamauchi, Ryoko, Ohta, Ryuichi, Igarashi, Mari, Kurita, Yasuo, Hayakawa, Miho, Sano, Chiaki
Format: Article
Language:English
Subjects:
Aging
Biopsy
Calcification
Case reports
Creatinine
Disease
Edema
Emergency Medicine
Endocarditis
Family/General Practice
Fever
Heart failure
Infections
Internal Medicine
Laboratories
Medical diagnosis
Neck
Older people
Ostomy
Patients
Pleural effusion
Proteins
Severe acute respiratory syndrome coronavirus 2
Tomography
Urine
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Summary:The causes of fevers in older adults are numerous and diverse, resulting in fevers of unknown origin that complicate the diagnosis process. Compared to young adults, older adults are characterized by comorbidities, aging-induced physiological changes, decreased homeostasis, reduced activities of daily living, and a diminished quality of life due to disease and aging. Thus, diverse perspectives are required to facilitate the accurate diagnosis of fever in older adults. In this study, we experienced a case of epidermal staphylococcal bacteremia of unknown cause with a persistent fever that eventually led to the diagnosis of cervical pseudogout. A 94-year-old bedridden woman visited our hospital with a chief complaint of persistent fever. She was diagnosed with cervical pseudogout after closely examining the prolonged fever following   bacteremia. Noninfectious diseases are frequent causes of unexplained fever in older adults, and systemic inflammatory diseases, such as cervical pseudogout, should be considered during examination.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.24333