Severe adult-onset still's disease mimicking systemic infection

Adult-onset Still's disease (AOSD) is an uncommon entity that can mimic infection. Patients present with fever for more than 1-week, joint pain, and rash. We report a case of 22-year-old male who presented with fever, sore throat, and abdominal pain. During hospitalization, he had multiple epis...

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Bibliographic Details
Published inIndian journal of critical care medicine Vol. 22; no. 8; pp. 616 - 618
Main Authors Gubbala, Rajani, Jagathkar, Ganshyam, Mayaluri, Nagalakshmikanth, Raghavendra, K
Format Journal Article
LanguageEnglish
Published India Wolters Kluwer India Pvt. Ltd 01.08.2018
Medknow Publications and Media Pvt. Ltd
Jaypee Brothers Medical Publishers Ltd
Medknow Publications & Media Pvt Ltd
Subjects
Abdomen
Adult-onset Still's disease
Antibiotics
Arthritis
Blood
Cardiac arrhythmia
Case Report
Case studies
Cytokines
Diagnosis
Dosage and administration
Drug therapy
Etiology
Fever
Infections
Nonsteroidal anti-inflammatory drugs
Pain
Pathogenesis
Pneumonia
Sepsis
Steroids (Drugs)
TNF inhibitors
Tomography
Tumor necrosis factor-TNF
fever
procalcitonin
Adult-onset Still's disease
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Summary:Adult-onset Still's disease (AOSD) is an uncommon entity that can mimic infection. Patients present with fever for more than 1-week, joint pain, and rash. We report a case of 22-year-old male who presented with fever, sore throat, and abdominal pain. During hospitalization, he had multiple episodes of tachycardia and tachypnea requiring mechanical ventilation. The patient had elevated white blood cell count, procalcitonin, and troponin. He was extensively investigated and diagnosed as AOSD. He responded to steroids and was discharged on day 20.
ISSN:0972-5229
1998-359X
DOI:10.4103/ijccm.IJCCM_208_18