Key result
Surgical excision of a left atrial myxoma resulted in complete resolution of a 4-month history of fever of unknown origin within 48 hours.
Case Report (n=1)
Left atrial myxoma is a rare but curable cause of fever of unknown origin that can be diagnosed with echocardiography and treated with surgical excision.
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Myxoma excision may resolve FUO; hypothesis-generating for echocardiography in FUO workup before changing practice.
Fever of unknown origin may present diagnostic and/or curative difficulties. Myxomas are one of the rare causes of fever of unknown origin. A 67-year-old man with a 4-month history of fever of unknown origin was admitted to our department. Physical examination revealed 38.4°C axillary temperature and accentuated second heart sound in cardiac auscultation. Blood, urinary, and throat cultures were negative. Transesophageal echocardiography showed a left atrial mass partially prolapsing into the left ventricle during diastole. Left atrial mass was excised, and histological examination showed atrial myxoma. Fever resolved within 48 hours after the operation, and the patient was discharged from hospital with complete improvement.
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Savaş et al. (2006) conducted a case report in Fever of unknown origin due to left atrial myxoma (n=1). Surgical excision was evaluated on Resolution of fever. Surgical excision of a left atrial myxoma resulted in complete resolution of a 4-month history of fever of unknown origin within 48 hours.
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