RECURRENT ABDOMINAL CRAMPS, MYALGIA AND MONO-NEUROPATHY MULTIPLEX

The case of a 30-year-old male, who presented with a three months hist ory of fever, night sweats, weight loss and myalgia is reported. Subse quently abdominal cramps, bloody diarrhea and mononeuropathy multiplex developed. An abdominal and renal angiogram showed changes of vascula r structures diagnostic for polyarteritis nodosa. An immunosuppressive treatment (Prednisolon 100 mg/day and Cyclophosphamid 200 mg/day) was started. However, diffuse peritonitis as the aftermath of bowel infar ction, which comprised the total length of the jejunum and the proxima l parts of the ileum, developed at the third week of this treatment. D espite immediate surgical resection of the ischemic bowel septic compl ications occurred and the patient died.