Sarcoidosis presenting with prolonged fever in a patient with sickle cell anemia.

E. D. Chan, L. S. Terada, M. I. Schwarz

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Although the leading causes of fever and pulmonary infiltrates in sickle cell patients are acute bacterial pneumonia and the acute chest syndrome, the former is usually responsive to antibiotics and not protracted, and the clinical course of the latter is short and self-limited. A patient with sickle cell anemia presented with fever and pulmonary infiltrates of several weeks duration that were unresponsive to antibiotics. Gross endobronchial abnormalities were noted on bronchoscopy, and the biopsies were consistent with sarcoidosis. The diagnosis of sarcoidosis can be difficult to establish in a patient with sickle cell anemia and protracted fever since both disorders are associated with chronic interstitial changes on the chest radiograph as well as restrictive physiology.

Original languageEnglish (US)
Pages (from-to)826-828
Number of pages3
JournalJournal of the National Medical Association
Volume87
Issue number11
StatePublished - Nov 1995

ASJC Scopus subject areas

  • Medicine(all)

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