Fever of unknown origin: atypical presentation of Parkinson's disease

Authors

  • Clara Marín-Barbancho Atención Primaria, Centro de Salud V Centenario, San Sebastián de los Reyes, Madrid, España https://orcid.org/0009-0007-7673-1781
  • Rebeca García-Caballero Servicio de Medicina Interna, Hospital Universitario Infanta Sofía, San Sebastián de los Reyes, Madrid, España

DOI:

https://doi.org/10.32818/reccmi.a8n3a5

Keywords:

fever of unknown origin, primary dysautonomias, parkinsonian disorders, levodopa

Abstract

We present a 74-year-old female patient who was admitted to the hospital for evaluation of fever and deterioration of her general condition. Complementary tests focused on the differential diagnosis of fever of unknown origin were negative. Given the progressive neurological worsening with bradypsychia, bradylalia, mutism, rigidity, and symptoms of severe dysautonomia, a provocation test with levodopa was performed on suspicion of parkinsonism. The patient's evolution after treatment was very favorable, with disappearance of the fever, the neurological and other dysautonomia symptoms.

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References

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Published

2023-12-31

How to Cite

1.
Marín-Barbancho C, García-Caballero R. Fever of unknown origin: atypical presentation of Parkinson’s disease. Rev Esp Casos Clin Med Intern [Internet]. 2023 Dec. 31 [cited 2024 Jul. 22];8(3):123-5. Available from: https://www.reccmi.com/RECCMI/article/view/909