Disseminated tuberculosis in a kidney transplant patient: Diagnostic significance of reversed circadian temperature rhythm

Abstract

Presently, clinicians often forget important aspects of fever patterns. This study presents the case of disseminated tuberculosis in a 64-year-old man whose chief complaint was morning fever. He was a kidney transplant patient and presented with productive cough, reverse fever pattern and a nodular pattern in chest radiograph. Clinicians should suspect disseminated tuberculosis in patients who present with reverse fever pattern, especially with compatible radiographic findings.

Keywords

• Reversed circadian temperature rhythm
• Disseminated tuberculosis
• Kidney transplantation
• Morning fever