{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:05:43Z","timestamp":1756339543084,"version":"3.44.0"},"reference-count":23,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,3,11]]},"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:p>We report a case of Beh\u00e7et syndrome in a young male who presented with fever, oral and genital ulcerations and weight loss. Investigations revealed elevated inflammatory markers and extensive venous thrombosis of the renal vein, inferior vena cava and segmental and subsegmental pulmonary embolisms. He was found to have an intracardiac thrombus in the right atrium and pulmonary nodules. He was diagnosed with Beh\u00e7et syndrome and was treated with corticosteroids, azathioprine and colchicine. He underwent right atrial thrombus extirpative surgery, and he had a patent foramen ovale, which was closed. Postoperatively, warfarin was started, and infliximab was added to his treatment. Beh\u00e7et syndrome should be considered early in cases with unexplained venous thrombosis if the patient has other typical clinical features. Fever in Beh\u00e7et syndrome is typically associated with vascular involvement. Vascular and cardiac involvement is associated with high morbidity and mortality. Therefore, early diagnosis can improve prognosis.<\/jats:p>","DOI":"10.1136\/bcr-2024-264057","type":"journal-article","created":{"date-parts":[[2025,3,26]],"date-time":"2025-03-26T02:32:45Z","timestamp":1742956365000},"page":"e264057","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Fever and extensive venous and intracardiac thrombus in Beh\u00e7et syndrome"],"prefix":"10.1136","volume":"18","author":[{"given":"Hana","family":"Tammam Najem","sequence":"first","affiliation":[{"name":"Department of Medicine, Amiri Hospital, Kuwait, Al Asimah, Kuwait"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdullah N","family":"AlAwadhi","sequence":"additional","affiliation":[{"name":"Sabah Alahmad Cardiac Centre, Amiri Hospital, Kuwait, Al Asimah, Kuwait"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dalal","family":"Alkhudair","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Rheumatology, Amiri Hospital, Kuwait, Al Asimah, Kuwait"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noura","family":"Alforaih","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Rheumatology, Amiri Hospital, Kuwait, Al Asimah, Kuwait"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,3,25]]},"reference":[{"key":"2025082709404992000_18.3.e264057.1","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1111\/j.1600-0714.1994.tb00063.x","article-title":"The person behind the eponym: Hul\u00fbsi Behcet (1889\u20101948)","volume":"23","author":"Mutlu","year":"1994","journal-title":"J Oral Pathology Medicine"},{"key":"2025082709404992000_18.3.e264057.2","doi-asserted-by":"crossref","first-page":"640","DOI":"10.1056\/NEJMra2305712","article-title":"Beh\u00e7et\u2019s Syndrome","volume":"390","author":"Saadoun","year":"2024","journal-title":"N Engl J Med"},{"key":"2025082709404992000_18.3.e264057.3","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1038\/s41572-021-00301-1","article-title":"Beh\u00e7et syndrome","volume":"7","author":"Yazici","year":"2021","journal-title":"Nat Rev Dis Primers"},{"doi-asserted-by":"publisher","key":"2025082709404992000_18.3.e264057.4","DOI":"10.1046\/j.1365-4362.2003.01893.x"},{"key":"2025082709404992000_18.3.e264057.5","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1016\/j.jaut.2015.08.013","article-title":"The immunogenetics of Beh\u00e7et\u2019s disease: A comprehensive review","volume":"64","author":"Takeuchi","year":"2015","journal-title":"J Autoimmun"},{"key":"2025082709404992000_18.3.e264057.6","first-page":"1078","article-title":"Criteria for diagnosis of Beh\u00e7et\u2019s disease. 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