Rare Cholestatic Form of Stauffer Syndrome

Sharon XH Hu and Adel Ekladious

A 57-year-old man with inexplicable fevers and deranged liver function tests was found to have new renal cell carcinoma on imaging without metastasis. Following surgical resection of the tumour, his fevers immediately disappeared. Stauffer syndrome describes fever associated with renal cell carcinoma and may have accompanying deranged liver biochemistry. Antibiotics should not be automatically prescribed in clinically stable patients who have negative septic and hepatic screens. Instead, a wide differential net should be cast, including for renal cell carcinoma as a potential diagnosis.
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