XXXX resulting from multiple cytokine production in metastatic @entity3975 with central @entity39 .

@entity1 @entity5572 @entity650 @entity3975 @entity5 @entity39 @entity9636 @entity189 @entity281 @entity1192 @entity3
We report a male @entity1 with metastatic high-grade @entity3975 and associated @entity9636 . The @entity1 was transferred to our hospital due to persistent spiking fever, marked granulocytosis, and suspected @entity5572 . After thorough bacteriological studies, including cultures of blood and material aspirated from the " @entity5572 ", no evidence of @entity281 was documented. The @entity1 suffered from persistent spiking fever for more than 4 weeks in spite of empirical antibiotic treatment, and repeated aspiration of the presupposed @entity5572 . He underwent exploratory laparotomy for intended surgical evacuation of the @entity5572 and bacteriological diagnosis. The operative findings were compatible with @entity189 with multiple liver and retroperitoneal lymph node involvement and @entity5 @entity39 . The pathology report indicated high-grade @entity3975 . Immunohistochemistry showed positive staining for @entity1192 ( @entity1192 ) and @entity650 . Elevation of cytokine levels in the @entity5 fluid, including @entity1192 , @entity650 , granulocyte-macrophage colony-stimulating factor and granulocyte colony-stimulating factor was confirmed by ELISA test. This case shows that multiple cytokine production from a @entity3 and its central necrotic area in the liver can produce a febrile @entity9636 mimicking a pyogenic @entity5572 .
