Pyrexia of Unknown Origin: A Report of Two Cases

Cureus. 2024 Feb 12;16(2):e54059. doi: 10.7759/cureus.54059. eCollection 2024 Feb.

Abstract

Pyrexia of unknown origin (PUO) is a prolonged fever lasting several weeks without an identifiable cause despite extensive medical evaluation. Many a time, its cause remains largely unknown even after collecting a detailed medical history, conducting comprehensive physical assessments, and performing various standard laboratory tests and imaging procedures. This case series presents two cases of pyrexia of unknown origin. The first case includes a unique and uncommon presentation of non-Hodgkin's lymphoma. In the second case, the patient's fever remained unexplained after various investigations and treatments. The two documented cases of PUO presented in this report aim to contribute to the understanding of its diverse etiology and diagnostic challenges. By highlighting unique presentations and diagnostic dilemmas, the cases aim to promote awareness and facilitate timely recognition and appropriate management of PUO.

Keywords: fever of unknown origin; non-hodgkin's lymphoma; pyrexia; pyrexia of unknown origin; splenic tuberculosis.

Publication types

  • Case Reports